go back

New Hampshire 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
$82.05 / $99.16 / $2,331.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.68 / $96.68 / $96.68
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9.47 / $9.47 / $9.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00