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West Virginia 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
$81.80 / $2,249.73 / $2,249.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.53 / $92.29 / $122.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.68 / $96.68 / $96.68
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$9.47 / $9.47 / $9.47