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See a sample rate comparisonCPT 26025 Fee Schedule
Medicare rates as of October 2026
CPT 26025 is classified under Surgery, in the Surgical Procedures on the Musculoskeletal System subgroup.
I & D Palmar Bursa;Single,Ulnaror Radia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $404.49 national non-facility rate (2026) · View Medicare rates for 26025 |
| Medicaid Fee Schedule | $324.69 median of the 8 states in the free preview · View Medicaid rates for 26025 |
National average reimbursement for CPT 26025 by major payers:
$532.27
BCBS / Anthem
$564.65
UnitedHealthcare
$571.90
Aetna
$696.53
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 26025.
CPT 26025
5 of 25 sample ratesHigher to lower in this preview
Short Hills Surgery Center, LLC, Short Hills Surgery Center
Short Hills Surgery Center, LLC
$3,157.00Published rateWest Asc, LLC, Camillus Surgery Center
West Asc, LLC Dba Camillus Surgery Center
$1,255.00Published rateIsurgery, LLC
Isurgery LLC
$750.00Published rateCleveland Clinic Florida (A Nonprofit Corporation), Cleveland Clinic Florida Coral Springs Asc
Cleveland Clinic Florida A Nonprofit Corporation
$618.00Published rateFt Myers Digestive Health And Pain Asc LLC, Center For Digestive Health And Pain Management
Ft Myers Digestive Health And Pain Asc LLC
$404.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 26025 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The table lists codes related to 26025. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 26020-CPT | Moderate | Drain Tendon Sheath Digit/Palm |
| 26025-CPT | Moderate | I & D Palmar Bursa;Single,Ulnaror Radia |
| 26030-CPT | Moderate | Drain Palm Bursa Mult/Complicated |
| 26034-CPT | Moderate | Ncision Bone Cortex Hand/ Finger (Eg Osteomyeli Or Bone Absce, Incision Bone Cortex Hand Or Finger (Eg Osteomyelitis Or Bone Absce |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 26025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 26025 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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