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See a sample rate comparisonCPT 20704 Fee Schedule
Medicare rates as of October 2026
CPT 20704 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) Intra-Articular (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 | 59Distinct Procedural Service ASPA/NP/CNS assistant at surgery |
| Add-on Code For | 2286422865Sign up to view all 31 |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $155.65 national non-facility rate (2026)View Medicare rates for 20704 |
| Medicaid Fee Schedule | $122.525 median of the 8 states in the free previewView Medicaid rates for 20704 |
National average reimbursement for CPT 20704 by major payers:
$188.06
BCBS / Anthem
$203.77
UnitedHealthcare
$204.37
Aetna
$249.58
Cigna
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CPT 20704
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Bay Area Endoscopy Center, LLC, Bay Area Endoscopy
$2,079.00Published rateSurgcenter Of The Potomac, LLC
$566.00Published ratePremier Surgical Center, Inc
Premier Surgical Center Inc
$365.00Published rateCapital Orthopaedic Surgery Center, LLC, Capital Orthopaedic Surgery Center
Capital Orthopaedic Surgery Center LLC
$143.00Published rateComprehensive Surgical Care Of Reno-Tahoe, LLC
Comprehensive Surgical Care Of Renotahoe LLC
$100.00Published rate
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See a sample payer proposalCPT 20704 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 20704. 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) |
| 20704-CPT | Manual Preparation And Inserti, Manual Preparation And Insertion Of Drug-Delivery Device(S) Intra-Articular (List Separately In Addition To Code For Primary Procedure) |
| 20705-CPT | Removal Of Drug-Delivery Devic, Removal Of Drug-Delivery Device(S) Intra-Articular (List Separately In Addition To Code For Primaryprocedure) |
| 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 20704. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 20704 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 20704 an add-on code?
Yes. CMS add-on code edits list CPT 20704 as an add-on code, billed with a primary code. Its primary codes: including 22864, 22865, 23040, 23044 and 23334.
Which revenue codes are billed with CPT 20704?
Hospital price transparency files list CPT 20704 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.