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Follow-Up Repair Of A Forearm Flexor Tendon

South Dakota 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?

$2,502

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $2,502 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $1,380 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$661 to $1,479
Facility feeThe hospital or surgery center$1,380$1,023 to $3,090

How much rates vary

Facilitymedian $1,380 · 10th to 90th $776 to $4,365Professionalmedian $1,122 · 10th to 90th $537 to $1,862
$1K$2K$5K$10Kfacility $1,380professional $1,122

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$645.65
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$1,412.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,380.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,737.80
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,548.82

Where South Dakota 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

South Dakota· 42nd of 50

$2,502

$1,122 physician + $1,380 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.