CPT 20552 Surgery - Musculoskeletal
Njx 1/mlt trigger point 1/2 Cost
Body System: Musculoskeletal
Medicare Facility Rate
$36
CMS PFS CY2026
Medicare Non-Facility Rate
$52
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.64
Work RVU
0.36
Facility PE RVU
0.07
Malpractice RVU
1.55
Total RVU
Frequently Asked Questions
How much does Njx 1/mlt trigger point 1/2 cost?
The Medicare facility rate is $36. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Njx 1/mlt trigger point 1/2 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 $36.