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Unlisted Bone, Joint or Muscle Procedure

Illinois 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 $1,995 · 10th–90th $631$7,5860%5%10th90th$1,995Professionalmedian $331 · 10th–90th $35$1,5140%5%10th90th$331$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
$794.33
Median
$2,344.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$331.13
Typical High
$1,513.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$354.81
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$10,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$691.83
Typical High
$2,089.30