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See a sample rate comparisonCPT 11730 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Avul Nail Plate Part/Comp Single
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | None TA - Left foot, great toe T5 - Right foot, great toe |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11730 |
| Medicaid Fee Schedule | View Medicaid rates for 11730 |
National average reimbursement for CPT 11730 by major payers:
$116.65
$132.32
$139.94
$172.88
Compare published rates across providers.
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CPT 11730
5 of 25 sample ratesHigher to lower in this preview
Scott And White Hospital, Baylor Scott & White Medical Center - Taylor
Scott & White Hospital-Taylor
$1,444.00Published rateLindenhurst Surgery Center LLC, Red Oaks Surgical Suites
Lindenhurst Surgery Center LLC
$650.00Published rateHedwig Asc, Houston Premiersurgery Center The Villages
Hedwig Asc
$336.00Published rateNortheast Nebraska Surgery Center LLC, Faith Regional Surgery Center
Northeast Nebraska Surgery Center LLC
$152.00Published ratePcac Gi Jv LLC
$52.00Published rate
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See a sample payer proposalCPT 11730 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11730 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11730 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 11719-CPT | Low | Trimming Of Nondysrophic Nails, Any Number |
| 11720-CPT | Low | Debridement Of Nail(S) By Any, Debridement Of Nail(S) By Any Method(S) One To Fivedebridement Of Nail(S) By Any Method(S) One To Five |
| 11730-CPT | Low | Avul Nail Plate Part/Comp Single |
| 11732-CPT | Low | Avlsn Nail Plate Simple Each, Avulsion Of Nail Plate Partial Or Complete Simple; Each Additional Nail Plate (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 11730. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11730 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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