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See a sample rate comparisonCPT 20650 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | 59Distinct Procedural Service RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 04500360Sign up to view all 4 |
| Medicare Fee Schedule | $249.51 national non-facility rate (2026)View Medicare rates for 20650 |
| Medicaid Fee Schedule | $193.70 median of the 8 states in the free previewView Medicaid rates for 20650 |
National average reimbursement for CPT 20650 by major payers:

$265.92
BCBS / Anthem

$277.57
UnitedHealthcare

$290.95
Aetna

$271.19
Cigna
Choose a payer to see a sample of rates for CPT 20650.
Texas Health Harris Methodist Hospital Fort Worth
Texas Health Harris Methodist Hospital Southwest Fort Worth
Physicians Surgery Services Lp, Advanced Surgery Center
Physician Surgery Services L.P.
Quality Care Surgery Center, LLC
Quality Care Surgery Center LLC
West Central Surgical Center-Bayside
West Central Surgical Centerbayside
Inland Surgery Center Lp
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See a sample payer proposalCPT 20650 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20650. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20650-CPT | Pin Insertion With Traction, Insertion Of A Pin Through The Broken Bone So That An End Pokes Through The Skin From Either Side. Weighted Traction Is Attached To The Pin To Keep The Bone Stable. |
| 20660-CPT | Device To Stop Head Movement, Immobilization (Stop Movement) Of The Head And Neck By Attaching A Device Such As Cranial Tongs A Caliper Or A Frame. |
| 20670-CPT | Removal Of Implant Superfici, Removal Of Implant Superficial (Eg Buried Wire Pin Orrod) (Separate Procedure) Removal Of Implant Superficial (Eg Buried Wire Pin Or |
| 20692-CPT | Application Of A Multiplane (P, Application Of A Multiplane (Pins Or Wires In Morethan One Plane) Unilateral External Fixation Sy Stem (E.G. Ilizarov Monticelli Type) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20650 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Medicare's hospital outpatient payment system (OPPS) assigns CPT 20650 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
CMS lists CPT 20650 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Hospital price transparency files list CPT 20650 under these revenue codes: 0450, 0360, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.