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Colorado 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
$116.78 / $5,428.00 / $10,651.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.06 / $115.14 / $157.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.29 / $120.07 / $164.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$2.24 / $2.24 / $2.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,491.00 / $2,720.00