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See a sample rate comparisonCPT 28280 Fee Schedule
Medicare rates as of October 2026
CPT 28280 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Webbing Operation For Soft Corn Kelikia
| 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 | RTRight side of body LTLeft 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 | 03600761 |
| Medicare Fee Schedule | $498.01 national non-facility rate (2026)View Medicare rates for 28280 |
| Medicaid Fee Schedule | $398.27 median of the 8 states in the free previewView Medicaid rates for 28280 |
National average reimbursement for CPT 28280 by major payers:
$627.13
BCBS / Anthem
$682.75
UnitedHealthcare
$682.68
Aetna
$591.44
Cigna
Compare published rates across providers.
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CPT 28280
5 of 25 sample ratesHigher to lower in this preview
Ophthalmology Surgery Center Of Dallas, LLC
Ophthalmology Surgery Center Of Dallas
$4,141.00Published rateVirgil Endoscopy Center LLC
$2,859.00Published rateSapling Grove Ambulatory Surgery Center, LLC
Sapling Grove Ambulatory Surgery Center LLC
$1,954.00Published rateHoliday Surgery Center Limited Partnership L L P
$715.00Published rateAmanda Miley
Deaconess Hospital Inc
$423.23Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 28280 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 28280. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 28270-CPT | Capsulotomy; Metatarsophalangeal Joint W//W/O Tenorrhaphy E, Capsulotomy; Metatarsophalangeal Joint With Or Without Tenorrhaphy E |
| 28272-CPT | Capsulotomy; Interphalang Joint Ea Joint (Sepa Proc), Capsulotomy; Interphalangeal Joint Each Joint (Separate Procedure) |
| 28280-CPT | Webbing Operation For Soft Corn Kelikia |
| 28285-CPT | Correct Hammertoe (Eg Interphalang Fusion Partial Or Total Ph, Correction Hammertoe (Eg Interphalangeal Fusion Partial Or Total Ph |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28280 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 28280 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 28280 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 28280 in an ambulatory surgery center?
CMS lists CPT 28280 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 28280?
Hospital price transparency files list CPT 28280 under these revenue codes: 0360 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.