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Massachusetts 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
$78.79 / $2,747.00 / $5,454.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.86 / $947.00 / $3,445.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.19 / $15.19 / $40.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.23 / $176.16 / $6,679.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.00 / $1,818.00 / $3,779.00
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.19 / $15.19 / $40.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00