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Knee Arthroscopy, Body Removal or Chondroplasty

South Dakota 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

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $87$4,3650%10%20%10th90th$135Professionalmedian $141 · 10th–90th $105$1660%10%20%10th90th$141$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$134.90
Typical High
$229.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$181.97
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$141.25
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83