CPT 69990 Other
Microsurgery add-on Cost
Body System: General
Medicare Facility Rate
$198
CMS PFS CY2026
Medicare Non-Facility Rate
$198
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.37
Work RVU
1.17
Facility PE RVU
1.39
Malpractice RVU
5.93
Total RVU
Frequently Asked Questions
How much does Microsurgery add-on cost?
The Medicare facility rate is $198. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Microsurgery add-on 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 $198.