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See a sample rate comparisonCPT 25112 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $377.10 national non-facility rate (2026) · View Medicare rates for 25112 |
| Medicaid Fee Schedule | $303.185 median of the 8 states in the free preview · View Medicaid rates for 25112 |
National average reimbursement for CPT 25112 by major payers:

$533.86
BCBS / Anthem

$523.17
UnitedHealthcare

$548.90
Aetna

$647.87
Cigna
Choose a payer to see a sample of rates for CPT 25112.
Texan Ambulatory Surgery Center, Texan Surgery Center
Aesthetic Associates Inc., P.S., Seattle Facial Plastic Surgery Center
Aesthetic Associates Inc Ps
Eynon Surgery Center, LLC
Warminster Ambulatory Surgical, Buxmont Ambulatory Surgical Center
Warminster Ambulatory Surgical
Nathan Riley
Deaconess Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 25112 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25112. 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. |
| 25215-CPT | Moderate | Carpectomy; All Bonesor Proximal Row |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25112 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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