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See a sample rate comparisonCPT 28112 Fee Schedule
Medicare rates as of October 2026
CPT 28112 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Ostectomy Comple Xcision; Other Metatarsal Head (Second Third, Ostectomy Complete Excision; Other Metatarsal Head (Second Third Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $481.98 national non-facility rate (2026) · View Medicare rates for 28112 |
| Medicaid Fee Schedule | $378.215 median of the 8 states in the free preview · View Medicaid rates for 28112 |
National average reimbursement for CPT 28112 by major payers:
$587.68
BCBS / Anthem
$642.50
UnitedHealthcare
$652.83
Aetna
$535.34
Cigna
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CPT 28112
5 of 25 sample ratesHigher to lower in this preview
Peak One Surgery Center, LLC, Peak One Surgery Center
Peak One Surgery Center LLC
$9,210.00Published ratePharos Enterprises Of Wisconsin, LLC
Pharos Enterprises Of Wisconsin LLC
$1,507.00Published rateZeo Surgical Center LLC, Lenza Surgical Center
Zeo Surgical Center LLC
$1,150.00Published rateSurgical Specialties Of Arroyo Grande Inc.
Oak Park Surgery Center
$624.00Published rateTracy Deno-Buechlein
Deaconess Hospital Inc
$400.94Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28112 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28112. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 28110-CPT | Moderate | Ostectomy Partial Xcision Fifth Metatarsal Head (Bunionette), Ostectomy Partial Excision Fifth Metatarsal Head (Bunionette) (Separ |
| 28111-CPT | Moderate | Ostectmy,Complete Exc;1st Meta.Head |
| 28112-CPT | Moderate | Ostectomy Comple Xcision; Other Metatarsal Head (Second Third, Ostectomy Complete Excision; Other Metatarsal Head (Second Third Or |
| 28113-CPT | Moderate | Ostectomy,Complet Exc;5th Meta.Head |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28112 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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