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See a sample rate comparisonCPT 25444 Fee Schedule
Medicare rates as of October 2026
CPT 25444 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
Wrist Joint Replacement, Surgery To Replace Worn Out Ends Of Wrist Joint With An Artificial Part (Prosthesis).
| 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 5115 - Level 5 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $759.54 national non-facility rate (2026)View Medicare rates for 25444 |
| Medicaid Fee Schedule | $607.58 median of the 8 states in the free previewView Medicaid rates for 25444 |
National average reimbursement for CPT 25444 by major payers:
$1,127.86
BCBS / Anthem
$1,108.85
UnitedHealthcare
$1,126.10
Aetna
$1,352.22
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 25444.
CPT 25444
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Irmo Asc
Lexington Health Inc
$11,403.00Published rateSierra Endoscopy Center, LLC
Sierra Endoscopy Center LLC
$6,300.00Published rateRex Surgery Center Of Wakefield, LLC
Rex Surgery Center Of Wakefield LLC
$3,515.00Published rateBloomington Normal Healthcare, LLC
Bloomington-Normal Healthcare, L.L.C.
$2,723.00Published rateEndoscopy Center Of Northeast Tennessee, PC
$425.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 25444 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 25444. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 25443-CPT | Arthroplst W/ Prosthet Replac; Scaphoid Carpal (Navicular), Arthroplasty With Prosthetic Replacement; Scaphoid Carpal (Navicular) |
| 25444-CPT | Wrist Joint Replacement, Surgery To Replace Worn Out Ends Of Wrist Joint With An Artificial Part (Prosthesis). |
| 25445-CPT | Arthropl.W/Prosth Replac;Trapezium |
| 25446-CPT | Arthroplst W/ Prosthet Replac; Distal Radius & Partial Or, Arthroplasty With Prosthetic Replacement; Distal Radius And Partial Or |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 25444. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 25444 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 25444 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns CPT 25444 to APC 5115 (Level 5 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for CPT 25444 in an ambulatory surgery center?
CMS lists CPT 25444 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with CPT 25444?
Hospital price transparency files list CPT 25444 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.