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See a sample rate comparisonCPT 24430 Fee Schedule
Last Verified: October 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.
Repair Poorly Healed Bone, Surgery To Repair Upper Arm Bone That Failed To Heal Completely Or Healed In An Improper Position Following Fracture.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 24430 |
| Medicaid Fee Schedule | View Medicaid rates for 24430 |
National average reimbursement for CPT 24430 by major payers:
$1,360.89
$1,414.92
$1,515.22
$1,719.45
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CPT 24430
5 of 25 sample ratesHigher to lower in this preview
Ophthalmology Surgery Center Of Orlando LLC, Orlando Ophthalmology Surgery Center
$6,492.00Published rateOrthopedic Ambulatory Surgery Center Of Chesterfield, LLC
Orthopedic Ambulatory Surgery Center Of Chesterfield LLC
$5,000.00Published rateThe Laser Surgery Center, LLC
The Laser Surgery Center LLC
$3,871.00Published rateAesthetic Surgery Center Of Eugene Inc
$3,024.00Published rateDoctors Same Day Surgery Center, Ltd
Doctors Same Day Surgery Center Ltd
$1,588.00Published rate
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See a sample payer proposalCPT 24430 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 24430 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 24430 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 |
|---|---|---|
| 24400-CPT | High | Osteotomy Humerus |
| 24410-CPT | High | Multiple Osteotomies With Real, Multiple Osteotomies With Realignment On Intramedullary Rodhumeral Shaft (Sofield Type Procedure) Multiple Osteotomies With Realignment On Intramedullary Rod |
| 24420-CPT | High | Osteoplast Humerus (Eg Shorten Or Lengthen) (Exclud 64876), Osteoplasty Humerus (Eg Shortening Or Lengthening) (Excluding 64876) |
| 24430-CPT | High | Repair Poorly Healed Bone, Surgery To Repair Upper Arm Bone That Failed To Heal Completely Or Healed In An Improper Position Following Fracture. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 24430. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 24430 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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