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See a sample rate comparisonHCPCS C9727 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Insertion of implants into the soft palate; minimum of three implants
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Other Therapeutic Services and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for C9727 |
National average reimbursement for HCPCS C9727 by major payers:
$846.22
$228.53
$687.94
$820.79
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HCPCS C9727
5 of 25 sample ratesHigher to lower in this preview
Children'S Hospital
Childrens Hospital Inc
$5,930.00Published rateChristus Cabrini Surgery Center, LLC, Christus Cabrini Surgery Center
Christus Cabrini Surgery Center LLC
$1,563.00Published rateScb Surgery Center LLC, Louisiana Surgery Center
$800.00Published rateMetairie La Endoscopy Asc LLC, Mga Gastrointestinal Diagnostic And Therapeutic Center-Metairie
$517.00Published rateHarvard Surgery Center LLC
$325.00Published rate
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See a sample payer proposalHCPCS C9727 vs. Other Other Therapeutic Services and Supplies Codes
The HCPCS C9727 code is part of the Outpatient PPS services used for Other Therapeutic Services and Supplies. 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 HCPCS C9727 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 |
|---|---|---|
| C9726-HCPCS | Moderate | Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure |
| C9727-HCPCS | Moderate | Insertion of implants into the soft palate; minimum of three implants |
| C9728-HCPCS | Moderate | Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9727. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9727 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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