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Follow-Up Repair Of A Forearm Flexor Tendon

New York 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?

$5,528

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

Insurers have agreed to pay about $5,528 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $4,786 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$741$617 to $1,096
Facility feeThe hospital or surgery center$4,786$2,951 to $7,586

How much rates vary

Facilitymedian $4,786 · 10th to 90th $933 to $10,965Professionalmedian $741 · 10th to 90th $550 to $1,905
$500$1K$2K$5K$10Kfacility $4,786professional $741

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
$812.83
Median
$3,715.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$1,584.89
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
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
$630.96
Median
$1,096.48
Typical High
$3,019.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$2,398.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,513.56
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$1,348.96
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$870.96
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,897.79
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$2,884.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$3,890.45
Univera
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$1,949.84

Where New York 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 York· 15th of 50

$5,528

$741 physician + $4,786 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.