CPT 21423 Surgery - Musculoskeletal
Optx palatal/max fx comp Cost
Body System: Musculoskeletal
Medicare Facility Rate
$722
CMS PFS CY2026
Medicare Non-Facility Rate
$722
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
10.58
Work RVU
9.07
Facility PE RVU
1.96
Malpractice RVU
21.61
Total RVU
Frequently Asked Questions
How much does Optx palatal/max fx comp cost?
The Medicare facility rate is $722. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Optx palatal/max fx comp 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 $722.