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See a sample rate comparisonCPT 25111 Fee Schedule
Medicare rates as of October 2026
CPT 25111 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Removal Of Fluid From Wrist, Surgical Removal Usually With A Needle Of Excess Joint Fluid That Has Created A Bulge On Or Under The Wrist. This Condition Is Called A Ganglion Cyst.
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $320.98 national non-facility rate (2026) · View Medicare rates for 25111 |
| Medicaid Fee Schedule | $259.135 median of the 8 states in the free preview · View Medicaid rates for 25111 |
National average reimbursement for CPT 25111 by major payers:
$453.91
BCBS / Anthem
$432.79
UnitedHealthcare
$470.32
Aetna
$539.94
Cigna
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CPT 25111
5 of 25 sample ratesHigher to lower in this preview
Mckinney Surgery Center, Lp, The Surgery Centre At Craig Ranch
$4,141.00Published rateBanner Sun City West Surgery Center LLC
$2,007.00Published rateEndoscopy Center Of Santa Maria Inc, The Endoscopy Center Of Santa Maria, Inc.
Endoscopy Center Of Santa Maria, Inc.
$1,270.00Published ratePhysicians Outpatient Surgery Center, LLC
Physicians Outpatient Surgery Center LLC
$843.00Published rateJenna Motycka
Deaconess Hospital Inc
$256.95Published rate
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See a sample payer proposalCPT 25111 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25111. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 25111-CPT | Moderate | Removal Of Fluid From Wrist, Surgical Removal Usually With A Needle Of Excess Joint Fluid That Has Created A Bulge On Or Under The Wrist. This Condition Is Called A Ganglion Cyst. |
| 25112-CPT | Moderate | Removal Of Fluid From Wrist, Surgical Removal Usually With A Needle Of Excess Joint Fluid That Has Created A Bulge On Or Under The Wrist. This Condition Is Called A Ganglion Cyst. |
| 25118-CPT | Moderate | Remove Wrist Tendon Covering, Surgery To Remove Sheath (Covering) Of Tendon Located Over Wrist Joint. Procedure Is Done To Relieve Pain And Increase Joint Mobility. |
| 25259-CPT | Moderate | Physical Therapy Of Wrist, Manual Stretching And Rotation Of Wrist Under General Anesthesia To Regain Range Of Motion After Surgery. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25111. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25111 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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