go back

Unlisted Bone, Joint or Muscle Procedure

Iowa 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 $2,239 · 10th–90th $79$6,4570%10%10th90th$2,239Professionalmedian $251 · 10th–90th $63$1,5140%10%20%10th90th$251$50.0$200.0$1.0K$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
$79.43
Median
$2,511.89
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$251.19
Typical High
$1,513.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$724.44
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$758.58
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$83.18