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Arizona 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,819.00 / $6,329.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.10 / $1,107.20 / $1,810.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.67 / $106.37 / $1,448.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.19 / $15.19 / $38.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00