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CPT 27727 Fee Schedule

Last Verified: January 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 Congenital Pseudarthrosis, Tibia
Key FactDetail
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 LevelHigh
Medicare Fee ScheduleView Medicare rates for 27727

National average reimbursement for CPT 27727 by major payers:

bcbs

$1,440.66

uhc

$1,379.37

aetna

$1,410.22

cigna

$1,715.36

Preview provider-level rates for...
For billing codeCPT 27727
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 27727

United
27727$1500.001396141545 - AXIS SURGERY CENTER LLC463623155 - (GA) AXIS SURGERY CENTER LLCGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$3100.001568079788 - DIALYSIS ACCESS CENTER OF CINCINNATI, INC.815023998 - (OH) DIALYSIS ACCESS CENTER OF CINCINNATI INCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$3474.001609996149 - ASC DEVELOPMENT COMPANY, LLC203405773 - (MD) ASC DEVELOPMENT COMPANY LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$4000.001881001212 - AMBULATORY SURGICAL CENTER AT BASKING RIDGE833879253 - (NJ) LIBERTY CORNER SURGICAL CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$1425.001093960395 - GRAYSTONE EYE SURGERY CENTER LLC205740206NCAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$6046.001902036049 - PHYSICIANS AMBULATORY SURGERY CENTER, LLC800444943TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$3489.001811546575 - FIRST COAST ORTHOPEDIC CENTER, LLC, FIRST COAST SURGERY CENTER822929226 - (FL) FIRST COAST ORTHOPEDIC CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$7630.001750838801 - MEMORIAL HOUSTON SURGERY CENTER, LLC, MEMORIAL HOUSTON SURGERY CENTER371782795 - (TX) MEMORIAL HOUSTON SURGERY CENTER,TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$10360.001992395388 - IU HEALTH SOUTHWEST FORT WAYNE AMBULATORY SURGERY CENTER LLC, IU HEALTH SURGERY CENTER FORT WAYNE842206388 - (IN) IU HEALTH SOUTHWEST FORT WAYNE AMBULATORY SURGERY CENTER LLCINAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$4094.001730876210 - MEDICAL CITY SURGERY CENTER NORTH TEXAS, LLC923326615TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$2400.001831182799 - ZION EYE INSTITUTE, INC841432944 - (UT) ZION EYE INSTITUTE INCUTAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$11403.001497352934 - LEXINGTON HEALTH INC, LMC LEXINGTON ASC852276567 - LEXINGTON HEALTH INCSCAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$2959.001699863258 - ROBERT E WAILES MD A PROFESSIONAL, PACIFIC SURGERY CENTER330113109CAAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$3500.001003116823 - NORTHERN N.J. ENDOSCOPY CENTER, L.L.C.640955113 - (NJ) NORTHERN NJ ENDOSCOPY CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
27727$2737.001558327213 - SURGICARE OF JACKSON LTD752162993 - (MS) SURGICARE OF JACKSON LTDMSAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 27727 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The CPT 27727 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 27727 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
27720-CPTHighRepair Non/Malunion,Tibia;W/O Graft-Comp
27722-CPTHighRep Non/Malunion Tibia W Slide Grft
27724-CPTHighRepair Non-/Malunion,Tibia;W/Iliac/Oth.A
27727-CPTHighRepair Congenital Pseudarthrosis, Tibia

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27727. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 27727 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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