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Kentucky 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
$79.56 / $104.00 / $8,229.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.55 / $109.59 / $146.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.68 / $96.68 / $96.68
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9.47 / $9.47 / $9.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $668.00 / $3,176.00