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See a sample rate comparisonCPT 27345 Fee Schedule
Medicare rates as of October 2026
CPT 27345 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Xcision Of Synovial Cyst Of Popliteal Spac (Eg Bakers Cyst), Excision Of Synovial Cyst Of Popliteal Space (Eg Bakers Cyst)
| 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 | LTLeft side of body RTRight side of body |
| Hospital Outpatient Group (APC) | APC 5113 - Level 3 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960Sign up to view all 4 |
| Medicare Fee Schedule | $468.28 national non-facility rate (2026)View Medicare rates for 27345 |
| Medicaid Fee Schedule | $369.855 median of the 8 states in the free previewView Medicaid rates for 27345 |
National average reimbursement for CPT 27345 by major payers:
$654.28
BCBS / Anthem
$650.14
UnitedHealthcare
$680.70
Aetna
$801.42
Cigna
Compare published rates across providers.
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CPT 27345
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center LLC, Foot & Ankle Surgery Center
$4,588.00Published rateSurgery Center Of Mesa LLC
$1,968.00Published rateOn Beach Surgery Center, LLC
On Beach Surgery Center LLC
$1,320.00Published rateShoaib Alam
Deaconess Hospital Inc
$837.17Published rateAsc Development Company, LLC, National Spine And Pain Centers
Asc Development Company LLC
$691.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 27345 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 27345. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 27335-CPT | Removal Of Knee Joint Lining, Exploration Of Knee Joint. The Procedure Includes Removal Of Inflamed Joint Lining To Alleviate Pain. |
| 27340-CPT | Excision, Prepatellar Bursa |
| 27345-CPT | Xcision Of Synovial Cyst Of Popliteal Spac (Eg Bakers Cyst), Excision Of Synovial Cyst Of Popliteal Space (Eg Bakers Cyst) |
| 27347-CPT | Xcision Of Lesion Of Meniscus Or Cpsul(Eg Cyst Ganglion) Knee, Excision Of Lesion Of Meniscus Or Capsule (Eg Cyst Ganglion) Knee |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27345. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27345 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 27345 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 27345 to APC 5113 (Level 3 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 27345 in an ambulatory surgery center?
CMS lists CPT 27345 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 27345?
Hospital price transparency files list CPT 27345 under these revenue codes: 0360, 0960, 0361 and 0975. A revenue code names the hospital department or charge category for the line; it does not change what the service is.