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See a sample rate comparisonCPT 24301 Fee Schedule
Medicare rates as of October 2026
CPT 24301 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Muscl Or Tndon Trnsfer Any Typ Upper Arm Elbow Sngle (Exclu, Muscle Or Tendon Transfer Any Type Upper Arm Or Elbow Single (Exclu
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $700.75 national non-facility rate (2026)View Medicare rates for 24301 |
| Medicaid Fee Schedule | $558.70 median of the 8 states in the free previewView Medicaid rates for 24301 |
National average reimbursement for CPT 24301 by major payers:
$1,019.54
BCBS / Anthem
$1,013.47
UnitedHealthcare
$1,049.11
Aetna
$1,236.96
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 24301.
CPT 24301
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$16,288.00Published rateCamp Lowell Surgery Center,LLC, Camp Lowell Surgery Center
Camp Lowell Surgery Center
$3,347.00Published rateUoi East Bay Surgery Center LLC
$2,492.00Published rateSouth Texas Ambulatory Surgery Center, PLLC
South Texas Ambulatory Surgery Center PLLC
$1,700.00Published rateDaniel Huther
Deaconess Hospital Inc
$600.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 24301 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 24301. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 24301-CPT | Muscl Or Tndon Trnsfer Any Typ Upper Arm Elbow Sngle (Exclu, Muscle Or Tendon Transfer Any Type Upper Arm Or Elbow Single (Exclu |
| 24305-CPT | Tendon Lengthening,Upper Arm/Elbow, Sing |
| 24332-CPT | Tenolysis, Triceps |
| 24341-CPT | Rpr 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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Frequently Asked Questions
What APC is CPT 24301 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 24301 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 24301 in an ambulatory surgery center?
CMS lists CPT 24301 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 24301?
Hospital price transparency files list CPT 24301 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.