CPT 21435 Surgery - Musculoskeletal
Optx crnfc sep comp int&/xtr Cost
Body System: Musculoskeletal
Medicare Facility Rate
$1,262
CMS PFS CY2026
Medicare Non-Facility Rate
$1,262
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
19.75
Work RVU
14.36
Facility PE RVU
3.66
Malpractice RVU
37.77
Total RVU
Frequently Asked Questions
How much does Optx crnfc sep comp int&/xtr cost?
The Medicare facility rate is $1,262. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Optx crnfc sep comp int&/xtr 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 $1,262.