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Unlisted Bone, Joint or Muscle Procedure

Maryland 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 $4,677 · 10th–90th $1$7,4130%20%10th90th$4,677Professionalmedian $309 · 10th–90th $71$1,0230%10%10th90th$309$1.0$5.0$20.0$100.0$500.0$2.0K

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
$0.98
Median
$4,677.35
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$309.03
Typical High
$1,023.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$40.74
Typical High
$128.82