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North Carolina 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
$83.20 / $1,245.00 / $7,439.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.33 / $83.20 / $145.71
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.17 / $11.62 / $17.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.00 / $896.00 / $2,229.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $151.86 / $3,779.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.76 / $15.19 / $40.89