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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
$977.24 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $9,772.37 / $19,952.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $134.90 / $3,801.89
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.14 / $38.02 / $38.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $134.90 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $4,570.88