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CPT 27454 Fee Schedule

Last Verified: September 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.

Osteotomy Multiple With Real, Osteotomy Multiple With Realignment On Intramedullary Rodfemoral Shaft (Eg Sofield Type Procedure) Osteotomy Multiple With Realignment On Intramedullary Rod
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Musculoskeletal System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

RT - Right side of body

LT - Left side of body

Complexity LevelHigh
Medicare Fee ScheduleView Medicare rates for 27454
Medicaid Fee ScheduleView Medicaid rates for 27454

National average reimbursement for CPT 27454 by major payers:

bcbs

$1,690.34

uhc

$1,750.81

aetna

$1,794.48

cigna

$2,111.00

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 27454.

CPT 27454
5 of 25 sample ratesHigher to lower in this preview
  1. East Mequon Surgery Center LLC

    WIAmbulatory Surgical Clinic/CenterNPI 1346235058Tax ID 86-1075286

    $14,053.00Published rate
  2. El Paso Center For Gastrointestinal Endoscopy, LLC

    El Paso Center For Gastrointestinal Endoscopy LLC

    TXAmbulatory Surgical Clinic/CenterNPI 1326114869Tax ID 20-1482218

    $6,365.00Published rate
  3. Lufkin Endoscopy Center Ltd

    TXAmbulatory Surgical Clinic/CenterNPI 1346237237Tax ID 20-4411582

    $3,686.00Published rate
  4. Rush Surgicenter At The Professional Building Ltd. Partnership, Rush Surgicenter Ltd. Partnership

    Rush Surgicenter, Ltd.

    ILAmbulatory Surgical Clinic/CenterNPI 1619013455Tax ID 36-3853026

    $1,924.00Published rate
  5. Digestive Health Specialists Endoscopy Center Arizona, LLC

    Digestive Health Specialists Endoscopy Center Arizona LLC

    AZAmbulatory Surgical Clinic/CenterNPI 1073588356Tax ID 20-1456252

    $1,222.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 27454 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27454 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 27454 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.

CodeComplexityDescription
27448-CPTHighOsteotmy,Femr,Shft/Supracndy;Wo Fix
27450-CPTHighOsteotomy Femur W Fixation Unilat
27454-CPTHighOsteotomy Multiple With Real, Osteotomy Multiple With Realignment On Intramedullary Rodfemoral Shaft (Eg Sofield Type Procedure) Osteotomy Multiple With Realignment On Intramedullary Rod
27457-CPTHighKnee/Leg Surgery, Osteotomy Proximal Tibia Including Fibular Excision Or Osteotomy (Includes Correction Of Genu Varus (Bowleg) Or Genu Valgus (Knock-Knee)) Unilateral; After Epiphyseal Closure

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27454. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27454 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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