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Preheat oven to 400 F.
Cut 4 (14-inch-long) pieces of parchment paper.
Prep the fish: Place tilapia on a cutting board, season on both sides with salt, and set aside.
Make the orange butter: Combine softened butter, basil, orange zest, garlic, crushed red pepper, salt, and black pepper in a small bowl.
Make the orange salsa: In another bowl, combine the orange segments, red onion, basil, orange juice, and salt.
Divide orange salsa among the parchment sheets, placing it on one half of the paper.
Place the fish on top of the salsa.
Spread about 1 tablespoon orange butter onto each fillet.
Fold the other side of the parchment over the fish.
Starting at one end of the paper, tightly fold the edges, continuing along the perimeter until well sealed.
Transfer fish pouches to a rimmed baking sheet and bake for 10 minutes.
Open the packets, garnish with fresh basil, and serve immediately.