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See a sample rate comparisonCPT 25151 Fee Schedule
Medicare rates as of October 2026
CPT 25151 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Partial Removal Of Radius, Partial Excision Craterization Saucerization Or Diaphysectomy Of Bone Eg For Osteomyelitis Radius
| 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 | $545.77 national non-facility rate (2026) · View Medicare rates for 25151 |
| Medicaid Fee Schedule | $437.415 median of the 8 states in the free preview · View Medicaid rates for 25151 |
National average reimbursement for CPT 25151 by major payers:
$842.21
BCBS / Anthem
$831.37
UnitedHealthcare
$846.05
Aetna
$997.32
Cigna
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CPT 25151
5 of 25 sample ratesHigher to lower in this preview
Proliance Surgeons, Inc., P.S., Proliance Eastside Surgery Center
Proliance Surgeons, Inc., P.S.
$3,623.00Published rateAsc Surgical Ventures, LLC
$3,008.00Published ratePersepolis Group LLC
$2,300.00Published ratePanama City Surgery Center,LLC
Panama City Surgery Center, LLC
$1,429.00Published rateDigestive Healthcare Of Georgia Endoscopy Center Mountainside
$500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25151 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25151. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 25145-CPT | Moderate | Removal Of Dead Bone, Surgery To Remove A Piece Of Dead Bone From A Diseased Section Of Any Of The Bones In The Arm Shoulder Or Collarbone. |
| 25150-CPT | Moderate | Partial Excision (Craterizatio, Partial Excision (Craterization Saucerization Ordiaphysectomy) Of Bone (Eg For Osteomyelitis) Ulna |
| 25151-CPT | Moderate | Partial Removal Of Radius, Partial Excision Craterization Saucerization Or Diaphysectomy Of Bone Eg For Osteomyelitis Radius |
| 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 25151. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25151 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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