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See a sample rate comparisonCPT 25312 Fee Schedule
Medicare rates as of October 2026
CPT 25312 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Transplant Forearm Tendon, Tendon Transplantation Or Transfer Flexor Or Extensor Forearm And Or Wrist Single With Tendon Graft S Includes Obtaining Graft Each Tendon
| 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 | $664.01 national non-facility rate (2026) · View Medicare rates for 25312 |
| Medicaid Fee Schedule | $530.98 median of the 8 states in the free preview · View Medicaid rates for 25312 |
National average reimbursement for CPT 25312 by major payers:
$979.81
BCBS / Anthem
$1,013.93
UnitedHealthcare
$1,008.51
Aetna
$1,253.94
Cigna
Compare published rates across providers.
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CPT 25312
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$10,989.00Published rateMemorialcare Surgical Center At Saddleback LLC, Laguna Niguel Surgery Center
$3,946.00Published rateThe Center For Spine Procedures, LLC
The Center For Spine Procedures LLC
$2,755.00Published rateBethesda Endoscopy Center, LLC
Bethesda Endoscopy Center LLC
$1,773.00Published rateSummit Endoscopy Center
$500.00Published rate
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See a sample payer proposalCPT 25312 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25312. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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. |
| 25312-CPT | Moderate | Transplant Forearm Tendon, Tendon Transplantation Or Transfer Flexor Or Extensor Forearm And Or Wrist Single With Tendon Graft S Includes Obtaining Graft Each Tendon |
| 25315-CPT | High | Release Tendon Contraction, Surgery To Release A Contracted Tendon That Is Causing The Lower Arm And/Or Wrist To Bend Unnaturally Or Deform. |
| 25316-CPT | High | Revise Palsy Hand Tendon S, Flexor Origin Slide Eg For Cerebral Palsy Volkmann Contracture Forearm And Or Wrist With Tendon S Transfer |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25312. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25312 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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