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See a sample rate comparisonCPT 25440 Fee Schedule
Medicare rates as of October 2026
CPT 25440 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Repair Nonu Scphd Carpl B1, Repair Of Nonunion Scaphoid Carpal (Navicular) Bone With Or Without Radial Styloidectomy (Includes Obtaining Graft And Necessary Fixation)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 24Ambulatory Surgical Center 22On Campus Outpatient Hospital |
| Common Modifiers | RTRight side of body LTLeft side of body |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | A2 - Paid separately, from the OPPS relative weight |
| Common Revenue Codes | 03600960Sign up to view all 4 |
| Medicare Fee Schedule | $704.76 national non-facility rate (2026)View Medicare rates for 25440 |
| Medicaid Fee Schedule | $563.79 median of the 8 states in the free previewView Medicaid rates for 25440 |
National average reimbursement for CPT 25440 by major payers:
$978.38
BCBS / Anthem
$1,045.08
UnitedHealthcare
$1,084.04
Aetna
$1,270.77
Cigna
Compare published rates across providers.
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CPT 25440
5 of 25 sample ratesHigher to lower in this preview
Northern Virginia Surgery Center LLC
$8,886.00Published rateMedplex Outpatient Surgery Center Ltd, Medplex Outpatient Surgery Center
Medplex Outpatient Surgery Center Ltd
$4,781.00Published rateSound Pain Alliance, Mt. Baker Surgery Center
Sound Pain Alliance
$2,718.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$1,618.00Published rateThe Kissimmee Fl Endoscopy Asc LLC, Kissimmee Endoscopy Center
$390.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25440 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25440. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 25394-CPT | Osteoplasty, Carpal Bone, Shortening |
| 25430-CPT | Insrt Of Vasculr Pedicle Into Carpal Bone (Eg Hori Proc), Insertion Of Vascular Pedicle Into Carpal Bone (Eg Hori Procedure) |
| 25431-CPT | Repair Nonunion Carpal Bone, Repair Of Nonunion Of Carpal Bone Excluding Carpal Scaphoid Navicular Includes Obtaining Graft And Necessary Fixation Each Bone |
| 25440-CPT | Repair Nonu Scphd Carpl B1, Repair Of Nonunion Scaphoid Carpal (Navicular) Bone With Or Without Radial Styloidectomy (Includes Obtaining Graft And Necessary Fixation) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25440 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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Frequently Asked Questions
What APC is CPT 25440 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 25440 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 25440 in an ambulatory surgery center?
CMS lists CPT 25440 with ASC payment indicator A2: Paid separately, from the OPPS relative weight.
Which revenue codes are billed with CPT 25440?
Hospital price transparency files list CPT 25440 under these revenue codes: 0360, 0960, 0490 and 0361. A revenue code names the hospital department or charge category for the line; it does not change what the service is.