CPT 20934 Surgery - Musculoskeletal

Intercalary algrft compl Cost

Body System: Musculoskeletal

Medicare Facility Rate
$649
CMS PFS CY2026
Medicare Non-Facility Rate
$649
Office/clinic setting

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

12.68
Work RVU
4.04
Facility PE RVU
2.70
Malpractice RVU
19.42
Total RVU

Frequently Asked Questions

How much does Intercalary algrft compl cost?

The Medicare facility rate is $649. Commercial insurance typically pays 150-250% of Medicare rates (varies).

How much does Intercalary algrft compl 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 $649.

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