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Utah rates for HCPCS C9781

Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $5,743.00 / $9,403.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.00 / $2,843.00 / $8,194.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,088.36 / $24,954.24 / $36,365.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00