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Tennessee 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
$88.57 / $4,069.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $139.00 / $388.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $3,779.00 / $3,779.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$15.19 / $40.89 / $40.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00