CPT 21432 Surgery - Musculoskeletal
Optx cranfcl sep w/wiring Cost
Body System: Musculoskeletal
Medicare Facility Rate
$672
CMS PFS CY2026
Medicare Non-Facility Rate
$672
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
8.60
Work RVU
9.93
Facility PE RVU
1.59
Malpractice RVU
20.12
Total RVU
Frequently Asked Questions
How much does Optx cranfcl sep w/wiring cost?
The Medicare facility rate is $672. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Optx cranfcl sep w/wiring 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 $672.