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Maine 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
$4,345.18 / $4,345.18 / $4,345.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,345.18 / $4,345.18 / $4,345.18