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See a sample rate comparisonCPT 25119 Fee Schedule
Medicare rates as of October 2026
CPT 25119 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 | $486.65 national non-facility rate (2026) · View Medicare rates for 25119 |
| Medicaid Fee Schedule | $389.425 median of the 8 states in the free preview · View Medicaid rates for 25119 |
National average reimbursement for CPT 25119 by major payers:
$673.61
BCBS / Anthem
$682.39
UnitedHealthcare
$697.89
Aetna
$837.89
Cigna
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CPT 25119
5 of 25 sample ratesHigher to lower in this preview
Hamilton Surgery Center LLC
$7,825.00Published rateHamilton Endoscopy And Surgery Center, LLC
Hamilton Endoscopy & Surgery Center, LLC
$2,795.00Published rateSouthern Surgery Center, LLC
Southern Surgery Center LLC
$1,803.00Published rateNorman Regional Hospital Authority, West Norman Endoscopy
$1,300.00Published rateHoliday Surgery Center Limited Partnership L L P
$455.00Published rate
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See a sample payer proposalCPT 25119 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25119. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 25119-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. |
| 25230-CPT | Moderate | Styloidectomy Radial |
| 25240-CPT | Moderate | Xcision Distal Ulna Partial Or Comple (Eg Darrach Typ Or Matchd, Excision Distal Ulna Partial Or Complete (Eg Darrach Type Or Matched |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25119. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25119 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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