CPT 20693 Surgery - Musculoskeletal
Adjmt/revj ext fixj sys anes Cost
Body System: Musculoskeletal
Medicare Facility Rate
$430
CMS PFS CY2026
Medicare Non-Facility Rate
$430
Office/clinic setting
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$3
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
5.91
Work RVU
5.91
Facility PE RVU
1.05
Malpractice RVU
12.87
Total RVU
Frequently Asked Questions
How much does Adjmt/revj ext fixj sys anes cost?
The Medicare facility rate is $430. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $3.
How much does Adjmt/revj ext fixj sys anes cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $430.