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Knee Arthroscopy, Body Removal or Chondroplasty

Michigan 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

Rates data updated July 2026.

Facilitymedian $4,898 · 10th–90th $85$6,7610%50%10th90th$4,898$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$4,897.79
Typical High
$6,918.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$269.15
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,258.93
Typical High
$4,265.80