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New York 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
$90.16 / $5,370.00 / $10,686.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $3,373.00 / $4,707.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.33 / $120.33 / $10,957.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.68 / $96.68 / $14,648.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9.47 / $9.47 / $9.47
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.00 / $141.08 / $332.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.38 / $78.38 / $78.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.68 / $555.00 / $597.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9.47 / $9.47 / $9.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$964.00 / $2,826.00 / $4,851.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.42 / $90.42 / $90.42