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Follow-Up Repair Of A Forearm Flexor Tendon

New Jersey 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?

$7,133

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $7,133 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $6,457 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$617 to $1,202
Facility feeThe hospital or surgery center$6,457$4,786 to $8,511

How much rates vary

Facilitymedian $6,457 · 10th to 90th $3,090 to $11,749Professionalmedian $676 · 10th to 90th $562 to $3,802
$1K$2K$5K$10K$20Kfacility $6,457professional $676

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
$3,090.30
Median
$6,165.95
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$2,041.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,047.13
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$22,908.68
Typical High
$36,307.81
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,413.10
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$1,621.81

Where New Jersey 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

New Jersey· 4th of 50

$7,133

$676 physician + $6,457 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.