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CPT 24301 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Muscl Or Tndon Trnsfer Any Typ Upper Arm Elbow Sngle (Exclu, Muscle Or Tendon Transfer Any Type Upper Arm Or Elbow Single (Exclu
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

24 - Ambulatory Surgical Center

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 24301
Medicaid Fee ScheduleView Medicaid rates for 24301

National average reimbursement for CPT 24301 by major payers:

bcbs

$1,019.54

uhc

$1,013.47

aetna

$1,049.11

cigna

$1,236.96

Compare published rates across providers.

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CPT 24301
5 of 25 sample ratesHigher to lower in this preview
  1. Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite

    Ochsner Clinic Foundation

    LAAmbulatory Surgical Clinic/CenterNPI 1528069218Tax ID 72-0502505

    $16,288.00Published rate
  2. Camp Lowell Surgery Center,LLC, Camp Lowell Surgery Center

    Camp Lowell Surgery Center

    AZAmbulatory Surgical Clinic/CenterNPI 1649223124Tax ID 20-1086556

    $3,347.00Published rate
  3. Uoi East Bay Surgery Center LLC

    RIAmbulatory Surgical Clinic/CenterNPI 1598419509Tax ID 87-3506992

    $2,492.00Published rate
  4. South Texas Ambulatory Surgery Center, PLLC

    South Texas Ambulatory Surgery Center PLLC

    TXAmbulatory Surgical Clinic/CenterNPI 1306162920Tax ID 27-2293402

    $1,700.00Published rate
  5. Daniel Huther

    Deaconess Hospital Inc

    KYCertified Registered Nurse AnesthetistNPI 1194149765Tax ID 35-0593390

    $600.65Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 24301 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 24301 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal 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 24301 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.

CodeComplexityDescription
24301-CPTHighMuscl Or Tndon Trnsfer Any Typ Upper Arm Elbow Sngle (Exclu, Muscle Or Tendon Transfer Any Type Upper Arm Or Elbow Single (Exclu
24305-CPTModerateTendon Lengthening,Upper Arm/Elbow, Sing
24332-CPTModerateTenolysis, Triceps
24341-CPTHighRpr Tdn Musc Upr A E Each, Repair Tendon Or Muscle Upper Arm Or Elbow Each Tendon Or Muscle Primary Or Secondary Excludes Rotator Cuff

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 24301 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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