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Knee Arthroscopy, Body Removal or Chondroplasty

Nebraska 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 $7,943 · 10th–90th $126$14,4540%10%20%10th90th$7,943Professionalmedian $135 · 10th–90th $123$2090%20%40%10th90th$135$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$8,511.38
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$9,772.37
Typical High
$19,952.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$138.04
Typical High
$3,801.89
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$15.14
Median
$38.02
Typical High
$38.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,148.15
Typical High
$4,466.84