CPT 69990 Other

How Much Does Microsurgery Add-on Cost?

Also known as: Microsurgery add-on (CPT 69990)

Microsurgery Add-on (CPT 69990) costs $198 at Medicare rates.

Medicare (Facility)
$198
CMS PFS 2026 national rate

Procedures Commonly Done Together

These procedures are frequently performed alongside Microsurgery add-on

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How to Reduce Your Cost for Microsurgery add-on

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.

3.37
Work RVU
1.17
Practice Expense RVU
1.39
Malpractice RVU
5.93
Total RVU

Payment = Total RVU (5.93) x CF ($33.40) = $198

People Also Ask

Common questions people search for about this procedure

Is ear surgery worth the cost?

For many patients, otoplasty can be a highly worthwhile procedure that positively impacts multiple areas of life. By reshaping or repositioning the ears, this surgery often brings balance and harmony to facial features, which can significantly improve self-confidence.

Source: baileyplasticsurgery.com See our data-backed answer →
Does insurance cover ear surgery?

Most health insurance plans will not cover elective surgery, related complications or another surgery to revise the appearance of your ears. Some procedures may be covered by health insurance, particularly when it is performed to relieve medical symptoms or to restore hearing function.

Source: www.plasticsurgery.org See our data-backed answer →
How painful is ear surgery?
What is the best age for ear surgery?

Frequently Asked Questions

How much does Microsurgery add-on cost?

The Medicare facility rate for Microsurgery add-on is $198. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Microsurgery add-on cost without insurance?

Without insurance, the cost of Microsurgery add-on 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 Microsurgery add-on?

Most commercial health insurance plans and Medicare cover Microsurgery add-on 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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