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See a sample rate comparisonCPT 25315 Fee Schedule
Medicare rates as of October 2026
CPT 25315 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Release Tendon Contraction, Surgery To Release A Contracted Tendon That Is Causing The Lower Arm And/Or Wrist To Bend Unnaturally Or Deform.
| 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 | LT - Left side of body RT - Right side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $720.79 national non-facility rate (2026) · View Medicare rates for 25315 |
| Medicaid Fee Schedule | $574.15 median of the 8 states in the free preview · View Medicaid rates for 25315 |
National average reimbursement for CPT 25315 by major payers:
$1,147.12
BCBS / Anthem
$1,086.08
UnitedHealthcare
$1,082.54
Aetna
$1,297.13
Cigna
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CPT 25315
5 of 25 sample ratesHigher to lower in this preview
Prime Healthcare Services-Suburban Hospital LLC
$11,154.87Published rateSurgcenter Clearwater, LLC, Surgcenter Dunedin
Surgcenter Clearwater LLC
$3,570.00Published rateParkwest Surgery Center Lp
$2,372.00Published rateLb Surgical Center LLC
$1,570.00Published rateThe Kissimmee Fl Endoscopy Asc LLC, Kissimmee Endoscopy Center
$390.00Published rate
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See a sample payer proposalCPT 25315 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25315. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 25320-CPT | High | Repair Revise Wrist Joint, Capsulorrhaphy Or Reconstruction Wrist Open Eg Capsulodesis Ligament Repair Tendon Transfer Or Graft Includes Synovectomy Capsulotomy And Open Reduction For Carpal Instability |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25315. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25315 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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