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See a sample rate comparisonCPT 28740 Fee Schedule
Last Verified: October 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.
Arthrodesi Midtarsal Or Tarsometatarsal Sngle Joint, Arthrodesis Midtarsal Or Tarsometatarsal Single Joint
| 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 | None LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 28740 |
| Medicaid Fee Schedule | View Medicaid rates for 28740 |
National average reimbursement for CPT 28740 by major payers:
$1,022.90
$1,117.41
$1,181.63
$1,030.62
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CPT 28740
5 of 25 sample ratesHigher to lower in this preview
Otay Lakes Surgery Center, LLC
Otay Lakes Surgery Center
$8,349.00Published rateThe Surgery Center, LLC
The Surgery Center LLC
$4,742.00Published rateEast Fort Lauderdale Asc LLC, Ft. Lauderdale Heart & Rhythm Surgery Center
East Fort Lauderdale Asc LLC
$4,100.00Published rateCec Surgical Services, LLC
Cec Surgical Services LLC
$1,993.00Published rateRori Spray
Deaconess Hospital Inc
$687.35Published rate
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See a sample payer proposalCPT 28740 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 28740 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 28740 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.
| Code | Complexity | Description |
|---|---|---|
| 28730-CPT | High | Arthrodesi Midtarsal Or Tarsometatarsal Multi Or Transvers;, Arthrodesis Midtarsal Or Tarsometatarsal Multiple Or Transverse; |
| 28735-CPT | High | Arthrodesis Midtarsal Or Tars, Arthrodesis Midtarsal Or Tarsometatarsal Multiple Ortransverse With Osteotomy (Eg Flatfoot Correction) |
| 28740-CPT | High | Arthrodesi Midtarsal Or Tarsometatarsal Sngle Joint, Arthrodesis Midtarsal Or Tarsometatarsal Single Joint |
| 28750-CPT | High | Fuse Bones Of The Big Toe, Surgery To Fuse A Joint In The Big Toe. The Procedure Eliminates Motion Between The Bones. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 28740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 28740 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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