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See a sample rate comparisonCPT 25250 Fee Schedule
Medicare rates as of October 2026
CPT 25250 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Remove Wrist Prosthesis
| 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 | $513.71 national non-facility rate (2026) · View Medicare rates for 25250 |
| Medicaid Fee Schedule | $410.725 median of the 8 states in the free preview · View Medicaid rates for 25250 |
National average reimbursement for CPT 25250 by major payers:
$688.50
BCBS / Anthem
$712.41
UnitedHealthcare
$724.69
Aetna
$876.85
Cigna
Compare published rates across providers.
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CPT 25250
5 of 25 sample ratesHigher to lower in this preview
Bayonet Point Surgery Center Ltd
$5,532.00Published rateEast Columbus Surgery Center LLC
$975.00Published rateThe Surgical Center Of The Treasure Coast, LLC
Surgical Center Of The Treasure Coast
$840.00Published rateAsc Gamma Partners Ltd, Miami Surgical Center
Asc Gamma Partners Ltd
$526.00Published rateJoon Y. Kim, Md, PC, Clayton Cataract & Laser Surgery Center
$380.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25250 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25250. 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. |
| 25248-CPT | Moderate | Exploration With Removal Of De, Exploration With Removal Of Deep Foreign Body Forearm Orwrist Exploration With Removal Of Deep Foreign Body Forearm Or |
| 25250-CPT | Moderate | Remove Wrist Prosthesis |
| 25251-CPT | High | Removal Wrist Prosthesis;Complicated,Tot |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25250 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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