1. Obtaining small amount of bone for graft (CPT 20900)
– average sub charge: $2,060
– average allow charge $294
– average payment: $231
2. Open surgical partial removal of collar bone (CPT 23120)
– average sub charge: $3,793
– average allow charge $477
– average payment: $376
3. Partial repair or removal of shoulder bone (CPT 23130)
– average sub charge: $4,027
– average allow charge $478
– average payment: $377
4. Open repair of rotator cuff, recent (CPT 23410)
– average sub charge: $4,947
– average allow charge $671
– average payment: $530
5. Open repair of rotator cuff, old (CPT 23412)
– average sub charge: $5,556
– average allow charge $984
– average payment: $777
6. Reconstruction rotator cuff, old (CPT 23420)
– average sub charge: $5,653
– average allow charge $984
– average payment: $777
7. Open repair elbow fracture involving ulnar bone (CPT 24685)
– average sub charge: $3,965
– average allow charge $502
– average payment: $396
8. Wrist fracture pinning through skin (CPT 25606)
– average sub charge: $2,883
– average allow charge $487
– average payment: $386
9. Open surgical Treatment wrist fracture (radius) (CPT 25607)
– average sub charge: $4,240
– average allow charge $706
– average payment: $560
10. Shoulder scope, repair cartilage tear (CPT 29807)
– average sub charge: $4,426
– average allow charge $309
– average payment: $241
11. Shoulder scope, partial removal collar bone (CPT 29824)
– average sub charge: $4,605
– average allow charge $562
– average payment: $442
12. Shoulder scope, bone shaving (CPT 29826)
– average sub charge: $4,680
– average allow charge $309
– average payment: $244
13. Shoulder scope, rotator cuff repair (CPT 29827)
– average sub charge: $5,272
– average allow charge $693
– average payment: $547
