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Washington, DC 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
$91.51 / $1,614.00 / $7,727.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.69 / $190.85 / $190.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00