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Follow-Up Repair Of A Forearm Flexor Tendon

Kentucky 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?

$2,937

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

Insurers have agreed to pay about $2,937 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $2,291 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$646$575 to $891
Facility feeThe hospital or surgery center$2,291$1,585 to $3,802

How much rates vary

Facilitymedian $2,291 · 10th to 90th $851 to $5,129Professionalmedian $646 · 10th to 90th $525 to $1,148
$500$1K$2K$5Kfacility $2,291professional $646

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
$537.03
Median
$851.14
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$1,148.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,023.29
CareSource
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,047.13
Typical High
$5,495.41
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,677.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,230.27

Where Kentucky 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

Kentucky· 37th of 50

$2,937

$646 physician + $2,291 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.