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See a sample rate comparisonCPT 23700 Fee Schedule
Medicare rates as of October 2026
CPT 23700 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Manipulation Under Anesthesia, Shoulder Joint, Including Application Of Fixation Apparatus- Rn Review: Medicaid 5/14/11-9/9/21, Commercial 7/5/11-9/9/21
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $184.71 national non-facility rate (2026) · View Medicare rates for 23700 |
| Medicaid Fee Schedule | $147.495 median of the 8 states in the free preview · View Medicaid rates for 23700 |
National average reimbursement for CPT 23700 by major payers:
$264.69
BCBS / Anthem
$264.25
UnitedHealthcare
$277.92
Aetna
$324.35
Cigna
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CPT 23700
5 of 25 sample ratesHigher to lower in this preview
Disc Surgery Center At Marina Del Rey LLC
$5,000.00Published rateSummit Ambulatory Surgical Center LLC
$1,233.00Published rateAmbulatory Surgical Ctr Of Aiken LLC, The Surgery Center Of Aiken
$700.00Published rateBaltimore Endoscopy Asc LLC, Gastrointestinal Diagnostic Center
Baltimore Endoscopy Asc LLC
$398.00Published rateMelissa Eisenhauer
Deaconess Hospital Inc
$156.71Published rate
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See a sample payer proposalCPT 23700 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 23700. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 23660-CPT | Moderate | Open Treatment Of Acute Should, Open Treatment Of Acute Shoulder Dislocationopen Treatment Of Acute Shoulder Dislocation |
| 23670-CPT | High | Surgery For Broken Shoulder, Surgery To Repair A Dislocated Shoulder Bone In Which Part Of The Upper Arm Bone Has Been Broken. The Procedure May Involve The Use Of Pins Wires Or Screws To Hold The Bones In Place. |
| 23680-CPT | High | Surgery For Broken Shoulder, Surgery To Repair A Dislocated Shoulder Bone In Which Part Of The Upper Arm Bone Has Been Broken. The Procedure May Involve The Use Of Pins Wires Or Screws To Hold The Bones In Place. |
| 23700-CPT | Moderate | Manipulation Under Anesthesia, Shoulder Joint, Including Application Of Fixation Apparatus- Rn Review: Medicaid 5/14/11-9/9/21, Commercial 7/5/11-9/9/21 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 23700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 23700 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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