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Follow-Up Repair Of A Forearm Flexor Tendon

Iowa rates for HCPCS 25263

Surgical repair of a tendon in the forearm or wrist that helps bend the fingers or wrist, performed as a follow-up procedure after an earlier injury or a repair that did not heal properly. The tendon ends are brought back together and stitched directly, without using a tissue graft to bridge a gap. It addresses a single tendon.

Rates data updated July 2026.

How much does Follow-Up Repair Of A Forearm Flexor Tendon cost?

$5,467

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $5,467 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $4,467 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,000$661 to $1,413
Facility feeThe hospital or surgery center$4,467$2,951 to $6,761

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,000 to $13,490Professionalmedian $1,000 · 10th to 90th $589 to $2,042
$1K$2K$5K$10K$20Kfacility $4,467professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$4,265.80
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$691.83
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,479.11
Typical High
$1,862.09
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,698.24
Typical High
$17,782.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,258.93
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$2,951.21
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,778.28
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,096.48
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$9,772.37
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,479.11

Where Iowa sits

The same service costs 12.0 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Iowa· 16th of 50

$5,467

$1,000 physician + $4,467 facility

ME $15,550WV $1,293

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.