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See a sample rate comparisonCPT 25316 Fee Schedule
Medicare rates as of October 2026
CPT 25316 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Revise Palsy Hand Tendon S, Flexor Origin Slide Eg For Cerebral Palsy Volkmann Contracture Forearm And Or Wrist With Tendon S Transfer
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $850.72 national non-facility rate (2026) · View Medicare rates for 25316 |
| Medicaid Fee Schedule | $677.01 median of the 8 states in the free preview · View Medicaid rates for 25316 |
National average reimbursement for CPT 25316 by major payers:
$1,269.00
BCBS / Anthem
$1,275.66
UnitedHealthcare
$1,255.29
Aetna
$1,529.38
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25316.
CPT 25316
5 of 25 sample ratesHigher to lower in this preview
Saint Vincent Hlth Ctr Spu
Highmark Health
$18,799.47Published rateSaint Thomas Campus Surgicare Lp
$6,020.00Published rateEye Mds Of Puget Sound PLLC, Narrows Eye Surgery Center
Eye M.D.S Of Puget Sound, PLLC
$3,449.00Published rateDenver Eye Surgery Center, LLC
Denver Eye Surgery Center LLC
$2,015.00Published rateWinter Haven Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center
$905.00Published rate
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See a sample payer proposalCPT 25316 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25316. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 25335-CPT | High | Centralization Wrist On Ulna-Eg,Radial C |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25316. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25316 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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