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Knee Arthroscopy, Body Removal or Chondroplasty

Alaska rates for HCPCS G0289

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $72$2450%10%10th90th$120$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$9,772.37
Typical High
$16,595.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$120.23
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53