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Knee Arthroscopy, Body Removal or Chondroplasty

Missouri 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 $2,089 · 10th–90th $87$6,3100%5%10th90th$2,089$20.0$100.0$500.0$2.0K$10.0K

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
$87.10
Median
$3,388.44
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$15.14
Median
$38.02
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$707.95
Typical High
$1,778.28