Knee repair - arthroscopic
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the Knee repair - arthroscopic Standard Service Package (SSP MS006). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS J1100 | Facility Fee | Intramuscular injection of 1mg dexamethasone sodium phosphate |
| HCPCS J2250 | Facility Fee | Intramuscular injection of 1mg midazolam hydrochloride |
| HCPCS J2405 | Facility Fee | Intramuscular injection of ondansetron hydrochloride, 1mg |
| HCPCS J0690 | Facility Fee | Intramuscular injection cefazolin sodium, 500mg |
| HCPCS J2704 | Facility Fee | Intramuscular injection of 10mg propofol |
| HCPCS J3010 | Facility Fee | Intramuscular injection of fentanyl citrate, 0.1mg |
| HCPCS 29881 | Facility Fee | Arthroscopic Knee Meniscectomy with Debridement/Cartilage Shaving |
| HCPCS 29876 | Facility Fee | Arthroscopic Knee Synovectomy of at Least Two Compartments |
| HCPCS 29876 | Professional Fee | Arthroscopic Knee Synovectomy of at Least Two Compartments |
| HCPCS 29881 | Professional Fee | Arthroscopic Knee Meniscectomy with Debridement/Cartilage Shaving |