CPT 25301 Fee Schedule

Medicare rates as of October 2026

CPT 25301 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.

Finger Tendon Surgery, Surgery To Cut The Normal Attachment Of A Finger Tendon And Reattach It To A Different Bone In The Wrist. The Procedure Is Done To Improve Finger Mobility.

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	$599.21 national non-facility rate (2026) · View Medicare rates for 25301
Medicaid Fee Schedule	$479.765 median of the 8 states in the free preview · View Medicaid rates for 25301

National average reimbursement for CPT 25301 by major payers:

$924.36

BCBS / Anthem

$873.02

UnitedHealthcare

$895.13

Aetna

$1,065.24

Cigna

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CPT 25301

5 of 25 sample ratesHigher to lower in this preview

Campus Surgery Center LLC
Campus Surgery Center L P
CAAmbulatory Surgical Clinic/CenterNPI 1063427557Tax ID 13-4334643
$5,726.00Published rate
South Jersey Musculoskeletal Institute, LLC, Advanced Surgical Institute
South Jersey Musculoskeletal Institute, LLC
NJAmbulatory Surgical Clinic/CenterNPI 1013136456Tax ID 20-4481032
$3,350.00Published rate
American Access Care Of New Jersey, LLC, Azura Surgery Center Cherry Hill
American Access Care Of New Jersey LLC
NJAmbulatory Surgical Clinic/CenterNPI 1215245238Tax ID 22-3783657
$2,128.00Published rate
Tglp, Lp, The Endoscopy Center Of Texarkana
Tglp Lp
TXAmbulatory Surgical Clinic/CenterNPI 1528009453Tax ID 20-1584968
$1,400.00Published rate
Sally K Balin Ambulatory Surgical Center Inc
Sally K Balin Ambulatory Surgical Center Inc.
PAAmbulatory Surgical Clinic/CenterNPI 1265434740Tax ID 23-2969046
$490.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 25301 vs. Other Surgical Procedures on the Musculoskeletal System Codes

The table lists codes related to 25301. Select one to see its fee schedule.

Code	Complexity	Description
25295-CPT	Moderate	Tenolysis Flexor Or Extenso Tndon Forearm Wrist Sngle Ea, Tenolysis Flexor Or Extensor Tendon Forearm And/Or Wrist Single Ea
25300-CPT	Moderate	Finger Tendon Surgery, Surgery To Cut The Normal Attachment Of A Finger Tendon And Reattach It To A Different Bone In The Wrist. The Procedure Is Done To Improve Finger Mobility.
25301-CPT	Moderate	Finger Tendon Surgery, Surgery To Cut The Normal Attachment Of A Finger Tendon And Reattach It To A Different Bone In The Wrist. The Procedure Is Done To Improve Finger Mobility.
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 25301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 25301 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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