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Repair Of Tendon Sheath At Wrist With Graft

Hawaii rates for HCPCS 25275

Rebuilds the fibrous tunnel that holds a tendon in place on the back of the wrist or forearm, using a strip of tissue taken from the patient during the same operation. It is done when the tunnel has stretched or torn and the tendon snaps out of position with movement. Taking the graft is part of the operation.

Rates data updated October 2026.

How much does Repair Of Tendon Sheath At Wrist With Graft cost?

$2,691

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $2,691 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $1,820 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$871$115 to $871
Facility feeThe hospital or surgery center$1,820$1,549 to $3,020

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,380 to $5,495Professionalmedian $871 · 10th to 90th $30 to $912
$50$200$1K$5Kfacility $1,820professional $871

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,318.26
Median
$2,818.38
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$660.69
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$758.58
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$870.96
Typical High
$870.96
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$114.82
Typical High
$5,888.44

Where Hawaii sits

The same service costs 3.6 times more in Wisconsin than in Montana. 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

Hawaii· 43rd of 51

$2,691

$871 physician + $1,820 facility

WI $7,724MT $2,143

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.