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See a sample rate comparisonCPT 25215 Fee Schedule
Medicare rates as of October 2026
CPT 25215 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Carpectomy; All Bonesor Proximal Row
| 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 | $577.84 national non-facility rate (2026) · View Medicare rates for 25215 |
| Medicaid Fee Schedule | $463.32 median of the 8 states in the free preview · View Medicaid rates for 25215 |
National average reimbursement for CPT 25215 by major payers:
$854.67
BCBS / Anthem
$846.41
UnitedHealthcare
$890.91
Aetna
$1,032.98
Cigna
Compare published rates across providers.
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CPT 25215
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Cleburne
$11,871.00Published rateAdvanced Endoscopy Center LLC
Advanced Endoscopy Center, LLC
$3,570.00Published rateParkway Surgical Center, LLC
Parkway Surgical Center LLC
$2,159.00Published rateMays & Schnapp Pain Clinic & Rehabilitation Center
Mays Schnapp Pain Clinic Rehabilitation Center
$1,747.00Published rateMacomb Endoscopy Center Plc
$640.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25215 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25215. 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. |
| 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. |
| 25210-CPT | Moderate | Carpectomy Single |
| 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 25215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25215 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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