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See a sample rate comparisonCPT 25246 Fee Schedule
Medicare rates as of October 2026
CPT 25246 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $187.71 national non-facility rate (2026) · View Medicare rates for 25246 |
| Medicaid Fee Schedule | $151.145 median of the 8 states in the free preview · View Medicaid rates for 25246 |
National average reimbursement for CPT 25246 by major payers:
$224.35
BCBS / Anthem
$245.09
UnitedHealthcare
$270.53
Aetna
$148.55
Cigna
Compare published rates across providers.
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CPT 25246
5 of 25 sample ratesHigher to lower in this preview
Atlantic Gastro Surgicenter, LLC, T/A Access
Atlantic Gastro Surgicenter LLC
$1,708.00Published rateDelaware River Surgical Suites, LLC
Bucks County Surgical Suites
$574.00Published rateThe Hand And Upper Extremity Surgery Center Of Georgia, LLC
The Hand And Upper Extremity Surgery Center Of Georgia LLC
$489.00Published rateFindlay Surgery Center Ltd
Findlay Surgery Center, Ltd
$275.00Published rateSt Marks Surgical Center LLC
$83.00Published rate
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See a sample payer proposalCPT 25246 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25246. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 25246-CPT | Moderate | Contrast Injection Into Joint, Injection Of Contrast Material For A Joint Study (Arthrography). The Contrast Highlights Areas Of Interest On Images Taken By X-Ray Ct Or Mri. |
| 25250-CPT | Moderate | Remove Wrist Prosthesis |
| 25310-CPT | Moderate | Move Tendon In Arm Or Wrist, Surgery To Remove Either The Flexor Or Extensor Tendon From Its Attachment And Transfer It Onto Another Tendon In The Lower Arm Or Wrist. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25246. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25246 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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