CPT 20704 Surgery - Musculoskeletal
Mnl prep&insj i-artic rx dev Cost
Body System: Musculoskeletal
Medicare Facility Rate
$129
CMS PFS CY2026
Medicare Non-Facility Rate
$156
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.54
Work RVU
0.80
Facility PE RVU
0.51
Malpractice RVU
4.66
Total RVU
Frequently Asked Questions
How much does Mnl prep&insj i-artic rx dev cost?
The Medicare facility rate is $129. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Mnl prep&insj i-artic rx dev 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 $129.