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Knee Arthroscopy, Body Removal or Chondroplasty

Wisconsin 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 $1,175 · 10th–90th $81$3,6310%10%10th90th$1,175Professionalmedian $174 · 10th–90th $95$2570%20%10th90th$174$20.0$100.0$500.0$2.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$17,782.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$398.11
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$169.82
Typical High
$8,709.64
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$169.82
Typical High
$1,778.28
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$173.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$173.78
Typical High
$257.04
Quartz
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$3,801.89
Quartz
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$14.79
Median
$14.79
Typical High
$52.48
Security Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$1,949.84