| Code | Description | States | Median rate |
|---|---|---|---|
| 29065 | Application of a shoulder-to-hand (long arm) cast | 48 | $82.92 |
| 29075 | Application of elbow-to-finger cast | 48 | $75.74 |
| 29085 | Application of hand and lower forearm cast | 48 | $81.58 |
| 29086 | Finger cast application | 46 | $61.99 |
| 29105 | Application of a shoulder-to-hand splint | 48 | $72.18 |
| 29125 | Application of a forearm-to-hand splint | 48 | $55.33 |
| 29130 | Static finger splint application | 46 | $33.85 |
| 29131 | Dynamic finger splint application | 47 | $43.20 |
| 29200 | Strapping of the chest | 47 | $28.52 |
| 29240 | Strapping of the shoulder | 47 | $26.25 |
| 29260 | Strapping of the elbow or wrist | 47 | $25.50 |
| 29280 | Strapping of the hand or finger | 45 | $26.64 |
| 29345 | Application of thigh-to-toes leg cast | 48 | $114.59 |
| 29405 | Application of knee-to-toes cast | 48 | $70.56 |
| 29425 | Application of walking short leg cast | 48 | $67.37 |
| 29505 | Application of a thigh-to-ankle splint | 48 | $73.44 |
| 29515 | Application of a lower-leg splint | 48 | $60.58 |
| 29520 | Strapping of the hip | 47 | $30.63 |
| 29530 | Strapping of the knee | 47 | $26.69 |
| 29540 | Ankle strapping | 47 | $24.52 |
| 29550 | Strapping of the toes | 47 | $18.01 |
| 29580 | Application of a compression (Unna) boot | 47 | $48.51 |
| 29581 | Multi-layer compression wrap, lower leg | 47 | $68.02 |
| 29584 | Multi-layer compression wrap, arm and hand | 46 | $60.28 |
| 29700 | Cast removal or splitting, gauntlet, boot or body | 45 | $49.10 |
| 29705 | Cast removal or splitting, full arm or leg | 45 | $51.37 |
| 29710 | Cast removal or splitting, spica or body jacket | 45 | $98.56 |
| 29730 | Cutting a window in a cast | 46 | $50.17 |
| 29750 | Wedging of a clubfoot cast | 46 | $81.74 |
| 29799 | Unlisted casting or strapping procedure | 11 | $71.03 |
| 29800 | Jaw joint arthroscopy, diagnostic | 45 | $407.51 |
| 29804 | Jaw joint arthroscopy, surgical | 45 | $480.94 |
| 29805 | Shoulder arthroscopy, diagnostic | 48 | $368.22 |
| 29806 | Shoulder arthroscopy with capsule repair | 48 | $844.56 |
| 29807 | Shoulder arthroscopy with SLAP labrum repair | 48 | $824.65 |
| 29819 | Shoulder arthroscopy with loose body removal | 48 | $485.86 |
| 29822 | Shoulder arthroscopy with limited debridement | 48 | $447.76 |
| 29823 | Shoulder arthroscopy with extensive debridement | 48 | $497.30 |
| 29824 | Shoulder arthroscopy with collarbone end removal | 48 | $548.55 |
| 29825 | Shoulder arthroscopy with scar tissue release | 48 | $479.48 |
| 29826 | Shoulder arthroscopy, subacromial decompression (add-on) | 47 | $171.93 |
| 29827 | Shoulder arthroscopy with rotator cuff repair | 48 | $845.78 |
| 29828 | Shoulder arthroscopy with biceps tendon anchoring | 47 | $705.13 |
| 29830 | Elbow arthroscopy, diagnostic | 48 | $382.42 |
| 29834 | Elbow arthroscopy with loose body removal | 48 | $410.12 |
| 29837 | Elbow arthroscopy with limited debridement | 48 | $430.18 |
| 29838 | Elbow arthroscopy with extensive debridement | 48 | $480.45 |
| 29840 | Wrist arthroscopy, diagnostic | 48 | $360.69 |
| 29848 | Endoscopic carpal tunnel release | 48 | $396.26 |
| 29860 | Hip arthroscopy, diagnostic | 48 | $507.24 |
| 29861 | Hip arthroscopy with loose body removal | 48 | $569.44 |
| 29866 | Knee arthroscopy with cartilage plug transfer (mosaicplasty) | 44 | $852.46 |
| 29868 | Knee arthroscopy with meniscus transplant | 44 | $1,335.18 |
| 29870 | Knee arthroscopy, diagnostic | 48 | $452.19 |
| 29871 | Knee arthroscopy with washout for infection | 48 | $428.82 |
| 29873 | Knee arthroscopy with lateral release | 47 | $434.42 |
| 29874 | Knee arthroscopy with loose body removal | 48 | $453.16 |
| 29877 | Knee arthroscopy with cartilage shaving | 48 | $501.39 |
| 29879 | Knee arthroscopy with microfracture or drilling | 48 | $538.03 |
| 29880 | Knee arthroscopy with removal of both menisci | 48 | $514.92 |
| 29881 | Knee arthroscopy with partial meniscus removal | 48 | $496.06 |
| 29882 | Knee arthroscopy with repair of one meniscus | 48 | $563.35 |
| 29883 | Knee arthroscopy with repair of both menisci | 48 | $654.39 |
| 29884 | Knee arthroscopy with scar tissue release | 48 | $489.56 |
| 29888 | Knee arthroscopy-assisted ACL reconstruction | 48 | $804.53 |
| 29889 | Arthroscopic PCL (posterior cruciate) reconstruction | 48 | $928.93 |
| 29893 | Endoscopic plantar fascia release | 48 | $490.37 |
| 29894 | Ankle arthroscopy with loose body removal | 48 | $438.11 |
| 29897 | Ankle arthroscopy with limited debridement | 48 | $427.58 |
| 29898 | Ankle arthroscopy with extensive debridement | 48 | $475.13 |
| 29899 | Ankle arthroscopy with ankle fusion | 47 | $795.45 |
| 29916 | Hip arthroscopy with labrum repair | 48 | $821.57 |
| 29999 | Unlisted arthroscopy procedure | 13 | $486.41 |
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.