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See a sample rate comparisonCPT 25125 Fee Schedule
Medicare rates as of October 2026
CPT 25125 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone Of The Lower Arm (Radius Or Ulna). The Procedure Uses A Bone Graft To Repair The Area.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $570.82 national non-facility rate (2026) · View Medicare rates for 25125 |
| Medicaid Fee Schedule | $455.985 median of the 8 states in the free preview · View Medicaid rates for 25125 |
National average reimbursement for CPT 25125 by major payers:
$850.26
BCBS / Anthem
$843.48
UnitedHealthcare
$828.05
Aetna
$1,013.38
Cigna
Compare published rates across providers.
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CPT 25125
5 of 25 sample ratesHigher to lower in this preview
Hallandale Outpatient Surgical Center,Ltd
Hallandale Outpatient Surgical Centerltd
$22,586.00Published rateWindhaven Surgery Center, LLC
Windhaven Surgery Center LLC
$1,900.00Published rateGrossmont Outpatient Surgical Center
Grossmont Outpatient Surgical Ce
$1,555.00Published rateOhi West, Inc, Bayfront Health Ambulatory Surgery Center
Ohi West Inc
$1,177.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$691.00Published rate
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See a sample payer proposalCPT 25125 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25125. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 25120-CPT | Moderate | Excision Or Curettage Of Bone, Excision Or Curettage Of Bone Cyst Or Benign Tumorof Radiusor Ulna (Excluding Head Or Neck Of Radiu S And Olecranon Process) |
| 25125-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone Of The Lower Arm (Radius Or Ulna). The Procedure Uses A Bone Graft To Repair The Area. |
| 25126-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From A Bone Of The Lower Arm (Radius Or Ulna). The Procedure Uses A Bone Graft To Repair The Area. |
| 25350-CPT | Moderate | Surgery To Align Arm Bone, Surgery To Cut One Or More Bones In The Lower Arm (Radius Or Ulna). This Procedure Is Usually Done To Correct Positioning Of A Previously Broken Bone. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25125. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25125 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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