CPT 21497 Surgery - Musculoskeletal
Interdental wirg oth/thn fx Cost
Body System: Musculoskeletal
Medicare Facility Rate
$562
CMS PFS CY2026
Medicare Non-Facility Rate
$717
Office/clinic setting
Hospital Outpatient
$1
OPPS rate
Surgery Center (ASC)
$659
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
4.52
Work RVU
11.80
Facility PE RVU
0.50
Malpractice RVU
21.47
Total RVU
Frequently Asked Questions
How much does Interdental wirg oth/thn fx cost?
The Medicare facility rate is $562. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $1. Ambulatory surgery center rate: $659.
How much does Interdental wirg oth/thn fx 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 $562.