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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
$446.68 / $3,162.28 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,495.41 / $8,128.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $199.53 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $512.86 / $1,258.93