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See a sample rate comparisonCPT 27095 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27095 |
| Medicaid Fee Schedule | View Medicaid rates for 27095 |
National average reimbursement for CPT 27095 by major payers:
$306.63
$366.24
$402.91
$163.57
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CPT 27095
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Endoscopy Center North Freeway LLC, Memorial Hermann Endoscopy Center North Loop
$2,079.00Published rateMemorial Surgery Center, LLC
Memorial Surgery Center LLC
$566.00Published rateAvon Surgery Center, LLC
Avon Surgery Center LLC
$166.00Published rateEast Paris Surgical Center, LLC
East Paris Surgical Center LLC
$100.00Published rateInnovative Surgery Center, LLC
Innovative Surgery Center LLC
$60.00Published rate
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See a sample payer proposalCPT 27095 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27095 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 27095 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 |
|---|---|---|
| 27093-CPT | Moderate | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 27095-CPT | Moderate | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 27096-CPT | Moderate | Injection Procedure For Sacroi, Injection Procedure For Sacroiliac Joint Anestheticsteroid With Image Guidance (Fluoroscopy Or Ct) Including Arthrography When Performed |
| 27146-CPT | High | Osteotomy Iliac Acetabul Innominate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27095. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27095 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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