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See a sample rate comparisonCPT 25118 Fee Schedule
Medicare rates as of October 2026
CPT 25118 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
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.
| 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 | $369.75 national non-facility rate (2026) · View Medicare rates for 25118 |
| Medicaid Fee Schedule | $297.545 median of the 8 states in the free preview · View Medicaid rates for 25118 |
National average reimbursement for CPT 25118 by major payers:
$558.98
BCBS / Anthem
$519.16
UnitedHealthcare
$542.83
Aetna
$640.91
Cigna
Compare published rates across providers.
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CPT 25118
5 of 25 sample ratesHigher to lower in this preview
Mclean Ambulatory Surgery, LLC
Mclean Ambulatory Surgery LLC
$4,898.00Published rateAtlantic Coast Surgical Suites, LLC
Atlantic Coast Surgical Suites LLC
$2,101.00Published rateSurgery Center Of Aventura Ltd
$1,518.00Published rateSunrise Flamingo Surgery Center, LLC, Flamingo Surgery Center
Sunrise Flamingo Surgery Center LLC
$1,148.00Published rateEndosurg Outpatient Center LLC
$445.00Published rate
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See a sample payer proposalCPT 25118 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25118. 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 25118. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25118 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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