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Wisconsin rates for HCPCS C9781

Arthroscopy Shoulder Surgical; With Implantationof 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
$8,466.00 / $9,245.00 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,499.00 / $15,502.00 / $22,165.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,862.89 / $20,862.89 / $20,862.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $13,721.00 / $17,327.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $275.83
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,154.57 / $15,154.57 / $15,154.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $12,373.00 / $15,090.00