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See a sample rate comparisonCPT 25210 Fee Schedule
Medicare rates as of October 2026
CPT 25210 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Carpectomy Single
| 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 | $467.28 national non-facility rate (2026) · View Medicare rates for 25210 |
| Medicaid Fee Schedule | $375.115 median of the 8 states in the free preview · View Medicaid rates for 25210 |
National average reimbursement for CPT 25210 by major payers:
$664.54
BCBS / Anthem
$664.32
UnitedHealthcare
$695.07
Aetna
$817.33
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25210.
CPT 25210
5 of 25 sample ratesHigher to lower in this preview
Willow Park Endoscopy Center, LLC
Willow Park Endoscopy Center LLC
$6,342.00Published rateSurgcenter Pinellas, LLC
$3,347.00Published ratePremier-Covenant Astc LLC, Premier Ambulatory Surgery Center
Premiercovenant Astc LLC
$1,951.00Published ratePine Grove Ambulatory Surgical
$1,114.00Published rateAmsurg Northern Kentucky Gi LLC, St. Elizabeth Physicians Endoscopy Center
$679.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25210 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25210. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 25130-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones In The Hand. |
| 25135-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Hand. The Area Is Repaired With A Bone Graft. |
| 25136-CPT | Moderate | Remove Noncancerous Growth, Surgery To Remove A Pocket Of Fluid (Cyst) Or A Noncancerous Growth (Tumor) From One Or More Bones Of The Hand. The Area Is Repaired With A Bone Graft. |
| 25210-CPT | Moderate | Carpectomy Single |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25210. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25210 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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