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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.44 / $4,024.00 / $12,154.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.23 / $128.87 / $875.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.19 / $15.19 / $38.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $815.00 / $1,351.00