go back

Oklahoma 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
$1,150.00 / $3,742.00 / $18,600.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.93 / $122.35 / $1,145.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.19 / $38.45 / $38.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.00 / $610.00 / $1,883.00