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See a sample rate comparisonCPT 20702 Fee Schedule
Medicare rates as of October 2026
CPT 20702 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Intramedullary (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21Inpatient Hospital 22On Campus Outpatient Hospital |
| Common Modifiers | 58Staged or related procedure during postoperative period LTLeft side of body |
| Add-on Code For | 2068020690Sign up to view all 39 |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $147.97 national non-facility rate (2026)View Medicare rates for 20702 |
| Medicaid Fee Schedule | $116.45 median of the 8 states in the free previewView Medicaid rates for 20702 |
National average reimbursement for CPT 20702 by major payers:
$186.96
BCBS / Anthem
$195.53
UnitedHealthcare
$196.39
Aetna
$239.35
Cigna
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CPT 20702
5 of 25 sample ratesHigher to lower in this preview
South Campus Surgery Center
$3,922.00Published rateEndoscopy Center Of Dayton North LLC
$574.00Published rateCarilion Surgery Center New River Valley, LLC, Carilion
Carilion Surgery Center New River Valley, LLC
$350.00Published rateOak Brook Surgical Centre Inc.
Oakbrook Surgical Centre, Inc
$168.00Published ratePine Grove Ambulatory Surgical
$84.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 20702 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20702. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 20700-CPT | Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Deep (Eg Subfascial) (List Separately In Addition To Code For Primary Procedure) |
| 20702-CPT | Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Intramedullary (List Separately In Addition To Code For Primary Procedure) |
| 20703-CPT | Removal Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Intramedullary(List Separately In Addition To Code For Primary Procedure) |
| 20936-CPT | Sp Bone Agrft Local Add On, Autograft For Spine Surgery Only Includes Harvesting The Graft Local Eg Ribs Spinous Process Or Laminar Fragments Obtained From Same Incision List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 20702. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20702 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
Is CPT 20702 an add-on code?
Yes. CMS add-on code edits list CPT 20702 as an add-on code, billed with a primary code. Its primary codes: including 20680, 20690, 20692, 20694 and 20802.
Which revenue codes are billed with CPT 20702?
Hospital price transparency files list CPT 20702 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.