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Knee Arthroscopy, Body Removal or Chondroplasty

Indiana 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 $1,380 · 10th–90th $78$4,8980%10%20%10th90th$1,380$10.0$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
$77.62
Median
$2,344.23
Typical High
$4,897.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$177.83
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$2,290.87
Typical High
$7,413.10