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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.31 / $8,477.27 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,860.00 / $10,338.04 / $19,997.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.31 / $133.54 / $1,242.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.19 / $38.45 / $38.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.26 / $133.99 / $205.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $1,775.00 / $4,406.00