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See a sample rate comparisonCPT 24073 Fee Schedule
Medicare rates as of October 2026
CPT 24073 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Ex Arm Elbow Tum Deep 5 Cm, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subfascial Eg Intramuscular 5 Cm Or Greater
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22On Campus Outpatient Hospital 24Ambulatory Surgical Center |
| Common Modifiers | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5073 - Level 3 Excision/ Biopsy/ Incision and Drainage |
| Surgery Center Payment (ASC) | G2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960Sign up to view all 6 |
| Medicare Fee Schedule | $653.32 national non-facility rate (2026)View Medicare rates for 24073 |
| Medicaid Fee Schedule | $512.38 median of the 8 states in the free previewView Medicaid rates for 24073 |
National average reimbursement for CPT 24073 by major payers:
$955.80
BCBS / Anthem
$952.68
UnitedHealthcare
$981.83
Aetna
$1,152.50
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24073.
CPT 24073
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Memorial City LLC, Memorial Hermann Memorial Village Surgery Center
$5,048.00Published ratePresbyterian Hospital Asc, New Mexico Surgery Center Multi-Specialty
$2,346.00Published rateMgh Surgery LLC
$1,563.00Published rateDigestive Disease Center Of Central New York, LLC
Digestive Disease Center Of Central New York LLC
$1,011.00Published rateCentral Florida Eye Institute Pl
$500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24073 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24073. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24065-CPT | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
| 24066-CPT | Biops Sft Tissue Of Upper Arm Elbow Area; Deep (Subfasci Or, Biopsy Soft Tissue Of Upper Arm Or Elbow Area; Deep (Subfascial Or In |
| 24071-CPT | Xcision Tumor Sft Tissue Of Upper Arm Elbow Area Subcutane, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subcutaneous; |
| 24073-CPT | Ex Arm Elbow Tum Deep 5 Cm, Excision Tumor Soft Tissue Of Upper Arm Or Elbow Area Subfascial Eg Intramuscular 5 Cm Or Greater |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24073. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24073 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 24073 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24073 to APC 5073 (Level 3 Excision/ Biopsy/ Incision and Drainage). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24073 in an ambulatory surgery center?
CMS lists CPT 24073 with ASC payment indicator G2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 24073?
Hospital price transparency files list CPT 24073 under these revenue codes: including 0360, 0960, 0975, 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.