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Unlisted Bone, Joint or Muscle Procedure

Washington 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 $4,571 · 10th–90th $550$21,8780%5%10th90th$4,571Professionalmedian $537 · 10th–90th $257$3,4670%10%20%10th90th$537$50.0$200.0$1.0K$5.0K$20.0K

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
$851.14
Median
$6,606.93
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$537.03
Typical High
$3,467.37
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$1,288.25
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$870.96
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$912.01
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$660.69
Typical High
$1,288.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$851.14
Typical High
$1,949.84