go back

Unlisted Bone, Joint or Muscle Procedure

Washington, DC rates for HCPCS 20999

Covers a bone, joint, muscle or tendon procedure that does not match any standard named service. The surgeon submits a written description of exactly what was done and why. Because it stands in for many different operations, what it covers varies from one case to the next.

Facilitymedian $2,754 · 10th–90th $1,349$4,0740%10%20%10th90th$2,754Professionalmedian $282 · 10th–90th $46$1,5140%10%10th90th$282$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$1,412.54
Median
$2,754.23
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$281.84
Typical High
$1,513.56
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,818.38
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$549.54
Typical High
$1,548.82