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Louisiana 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
$70.56 / $2,756.00 / $5,432.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,699.40 / $5,485.58 / $8,139.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.45 / $200.00 / $200.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $543.00 / $1,560.00