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Knee Arthroscopy, Body Removal or Chondroplasty

Idaho 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 $126 · 10th–90th $66$4,4670%10%10th90th$126$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$5,495.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$446.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$154.88
Select Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$1,819.70
Typical High
$9,332.54