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Unlisted Bone, Joint or Muscle Procedure

Wisconsin 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 $13,183 · 10th–90th $2,239$26,9150%5%10%10th90th$13,183Professionalmedian $331 · 10th–90th $71$1,5140%10%10th90th$331$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
$1,905.46
Median
$13,182.57
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$331.13
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$13,803.84
Typical High
$30,199.52
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,818.38
Typical High
$5,370.32
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,445.44
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,584.89
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$89.13