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Follow-Up Repair Of A Forearm Flexor Tendon

Illinois 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?

$2,839

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

Insurers have agreed to pay about $2,839 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $1,905 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$933$646 to $1,202
Facility feeThe hospital or surgery center$1,905$1,175 to $5,129

How much rates vary

Facilitymedian $1,905 · 10th to 90th $724 to $9,333Professionalmedian $933 · 10th to 90th $589 to $1,585
$200$500$1K$2K$5K$10Kfacility $1,905professional $933

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
$645.65
Median
$1,737.80
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$1,584.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$10,471.29
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$933.25
Typical High
$1,380.38
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,174.90
Typical High
$3,019.95
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$812.83
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$72.44
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$6,025.60
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,380.38

Where Illinois 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

Illinois· 39th of 50

$2,839

$933 physician + $1,905 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.