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See a sample rate comparisonCPT 20670 Fee Schedule
Medicare rates as of October 2026
CPT 20670 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Removal Of Implant Superfici, Removal Of Implant Superficial (Eg Buried Wire Pin Orrod) (Separate Procedure) Removal Of Implant Superficial (Eg Buried Wire Pin Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11Office 22On Campus Outpatient Hospital |
| Common Modifiers | 58Staged or related procedure during postoperative period RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5072 - Level 2 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600450Sign up to view all 11 |
| Medicare Fee Schedule | $370.42 national non-facility rate (2026)View Medicare rates for 20670 |
| Medicaid Fee Schedule | $297.32 median of the 8 states in the free previewView Medicaid rates for 20670 |
National average reimbursement for CPT 20670 by major payers:
$423.62
BCBS / Anthem
$506.50
UnitedHealthcare
$531.99
Aetna
$281.48
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 20670.
CPT 20670
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$4,147.00Published ratePremier Physicians Centers, Inc
Premier Physicians Centers, Inc.
$675.00Published rateNorman Regional Hospital Authority, West Norman Endoscopy
$461.00Published rateSylvan Surgery Center, Inc.
Sylvan Surgery Center Inc
$355.00Published rateMonterey Peninsula Surgery Center Munras Ave
Monterey Peninsula Surgery Center, LLC
$330.00Published rate
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See a sample payer proposalCPT 20670 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20670. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 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 |
| 20680-CPT | Removal Of Implant Deep (Eg, Removal Of Implant Deep (Eg Buried Wire Pin Screw Metalband Nail Rod Or Plate) Removal Of Implant Deep (Eg Buried Wire Pin Screw Metal |
| 20690-CPT | Install Hardware To Hold Bones, Application Of External Fixation System (Metal Hardware Placed Outside Of The Skin To Stabilize Broken Bones). |
| 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 20670. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20670 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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Frequently Asked Questions
What APC is CPT 20670 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 20670 to APC 5072 (Level 2 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 20670 in an ambulatory surgery center?
CMS lists CPT 20670 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 20670?
Hospital price transparency files list CPT 20670 under these revenue codes: including 0360, 0450, 0361, 0761 and 0510. A revenue code names the hospital department or charge category for the line; it does not change what the service is.