| Code | Description | States | Median rate |
|---|---|---|---|
| 27030 | Open hip joint drainage for infection | 46 | $712.04 |
| 27090 | Hip implant removal, simple | 46 | $638.05 |
| 27091 | Hip implant removal, complicated, with or without spacer | 46 | $1,209.08 |
| 27096 | Sacroiliac joint injection with imaging | 46 | $146.94 |
| 27125 | Partial hip replacement (femoral head only) | 46 | $911.01 |
| 27130 | Total hip replacement | 47 | $1,123.65 |
| 27132 | Conversion of prior hip surgery to a total hip replacement | 45 | $1,363.77 |
| 27134 | Revision of a total hip replacement, both components | 46 | $1,600.15 |
| 27137 | Revision of a total hip replacement, socket only | 46 | $1,214.10 |
| 27138 | Revision of a total hip replacement, thigh component only | 45 | $1,241.65 |
| 27236 | Open hip (femoral neck) fracture repair or replacement | 46 | $948.50 |
| 27244 | Hip (intertrochanteric) fracture treated with a plate | 45 | $931.01 |
| 27245 | Hip (intertrochanteric) fracture treated with a rod | 46 | $1,002.14 |
| 27279 | Sacroiliac joint fusion, minimally invasive | 45 | $601.27 |
| 27280 | Sacroiliac joint fusion, open | 46 | $996.32 |
| 27284 | Hip joint fusion | 46 | $1,189.22 |
| 27295 | Amputation through the hip joint | 46 | $1,023.55 |
| 27299 | Unlisted pelvis or hip procedure | 13 | $427.44 |
| 27369 | Injection for a knee X-ray, CT or MRI (arthrogram) | 46 | $141.55 |
| 27412 | Knee cartilage cell implant (ACI) | 40 | $1,319.77 |
| 27446 | Partial knee replacement, one compartment | 47 | $940.00 |
| 27447 | Total knee replacement | 48 | $1,168.29 |
| 27486 | Revision of a total knee replacement, one component | 46 | $1,130.85 |
| 27487 | Revision of a total knee replacement, both components | 46 | $1,428.52 |
| 27488 | Knee implant removal, with or without spacer | 46 | $921.03 |
| 27500 | Thigh bone shaft fracture, closed treatment, no manipulation | 48 | $446.81 |
| 27502 | Thigh bone shaft fracture, closed, with manipulation | 48 | $602.40 |
| 27506 | Open treatment of a thigh bone shaft fracture, with a rod | 46 | $1,013.09 |
| 27507 | Open treatment of a thigh bone shaft fracture, plated | 47 | $809.01 |
| 27520 | Closed treatment of a kneecap fracture, no manipulation | 48 | $264.01 |
| 27524 | Open treatment of a kneecap fracture | 48 | $615.22 |
| 27530 | Shin bone knee-end fracture, closed, no manipulation | 48 | $276.42 |
| 27532 | Shin bone knee-end fracture, closed, with manipulation | 48 | $503.53 |
| 27535 | Open tibial plateau fracture repair, one side | 46 | $702.00 |
| 27536 | Open tibial plateau fracture repair, both sides | 46 | $893.96 |
| 27560 | Closed treatment of a kneecap dislocation, no anesthesia | 48 | $297.56 |
| 27570 | Knee manipulation under anesthesia | 48 | $124.26 |
| 27580 | Knee joint fusion | 46 | $1,114.44 |
| 27590 | Above-knee amputation | 46 | $635.59 |
| 27591 | Above-knee amputation with immediate prosthesis fitting | 46 | $744.47 |
| 27592 | Above-knee amputation, open (guillotine) | 46 | $552.06 |
| 27596 | Above-knee amputation, repeat | 46 | $580.92 |
| 27598 | Amputation through the knee joint | 46 | $569.12 |
| 27599 | Unlisted thigh or knee procedure | 13 | $365.82 |
| 27650 | Achilles tendon repair, primary | 48 | $539.04 |
| 27702 | Total ankle replacement | 46 | $809.52 |
| 27703 | Revision of a total ankle replacement | 45 | $898.32 |
| 27750 | Closed treatment of shin bone (tibia) fracture without manipulation | 48 | $284.50 |
| 27752 | Shin bone shaft fracture, closed, with manipulation | 48 | $452.07 |
| 27758 | Open treatment of a shin bone shaft fracture, plated | 48 | $729.21 |
| 27759 | Internal fixation of shin bone fracture | 47 | $808.11 |
| 27766 | Open treatment of an inner ankle fracture | 48 | $508.02 |
| 27780 | Fibula shaft fracture, closed treatment, no manipulation | 48 | $248.85 |
| 27781 | Fibula shaft fracture, closed treatment, with manipulation | 48 | $355.30 |
| 27786 | Closed treatment of outer ankle bone fracture without manipulation | 48 | $255.02 |
| 27792 | Open treatment of an outer ankle fracture | 48 | $507.55 |
| 27808 | Closed treatment of both-sided ankle fracture without manipulation | 48 | $273.29 |
| 27810 | Closed treatment of both-sided ankle fracture with manipulation | 48 | $400.54 |
| 27880 | Below-knee amputation | 46 | $684.44 |
| 27881 | Below-knee amputation with immediate prosthesis fitting | 46 | $670.48 |
| 27882 | Below-knee amputation, open (guillotine) | 46 | $482.26 |
| 27886 | Below-knee amputation, repeat | 46 | $530.66 |
| 27888 | Ankle-level amputation (Syme) | 46 | $506.42 |
| 27899 | Unlisted lower leg or ankle procedure | 12 | $273.68 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.