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See a sample rate comparisonCPT 27006 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.
Tenotomy Abductors &/Or Extenso(S) Of Hip Open (Sepa Proc, Tenotomy Abductors And/Or Extensor(S) Of Hip Open (Separate Procedur
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 27006 |
| Medicaid Fee Schedule | View Medicaid rates for 27006 |
National average reimbursement for CPT 27006 by major payers:
$1,016.34
$978.66
$1,006.18
$1,215.65
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CPT 27006
5 of 25 sample ratesHigher to lower in this preview
Greater Dayton Surgery Center LLC
Greater Dayton Surgery Center
$8,653.00Published rateJacksonville Endoscopy Centers LLC, Jacksonville Center For Endoscopy
$3,570.00Published rateGladiolus Surgery Center , LLC
Gladiolus Surgery Center L L C
$2,280.00Published rateUnited Vascular Of Omaha LLC
$1,620.00Published rateRiverside Surgical Center
$990.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27006 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27006 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 27006 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 |
|---|---|---|
| 27000-CPT | Moderate | Tenotomy Adductor Hip Subcut Closed |
| 27001-CPT | Moderate | Tenotomy,Adductor-Hip,Subcutan,Open |
| 27003-CPT | Moderate | Tenotmy,Adduc,Subcut,Op,W/Neurectmy |
| 27006-CPT | High | Tenotomy Abductors &/Or Extenso(S) Of Hip Open (Sepa Proc, Tenotomy Abductors And/Or Extensor(S) Of Hip Open (Separate Procedur |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27006. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27006 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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