CPT 20690 Surgery - Musculoskeletal

How Much Does Appl Unipln Uni Extremity Fixation Sys Cost?

Also known as: Appl unipln uni ext fixj sys (CPT 20690)

The total estimated cost of Appl Unipln Uni Extremity Fixation Sys (CPT 20690) is $1,834 to $3,438, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $546.

Total Estimated Cost of Care

$1,834 — $3,438

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$546
Hospital Facility Fee
$1,637
Anesthesia (est.)
$109
Important: The physician fee of $546 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$546
Physician component only — CMS PFS 2026

Procedures Commonly Done Together

These procedures are frequently performed alongside Appl unipln uni ext fixj sys

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How to Reduce Your Cost for Appl unipln uni ext fixj sys

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

8.56
Work RVU
6.05
Practice Expense RVU
1.73
Malpractice RVU
16.34
Total RVU

Payment = Total RVU (16.34) x CF ($33.40) = $546

Frequently Asked Questions

How much does Appl unipln uni ext fixj sys cost?

The Medicare facility rate for Appl unipln uni ext fixj sys is $546. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Appl unipln uni ext fixj sys cost without insurance?

Without insurance, the cost of Appl unipln uni ext fixj sys can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Appl unipln uni ext fixj sys?

Most commercial health insurance plans and Medicare cover Appl unipln uni ext fixj sys when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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