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Illinois 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
$120.23 / $3,235.94 / $9,772.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $416.87 / $1,479.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $724.44
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $851.14 / $2,630.27