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Repair Of Tendon Sheath At Wrist With Graft

Montana 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?

$2,143

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

Insurers have agreed to pay about $2,143 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $1,072 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$1,072$708 to $1,072
Facility feeThe hospital or surgery center$1,072$1,072 to $1,318

How much rates vary

Facilitymedian $1,072 · 10th to 90th $955 to $2,884Professionalmedian $1,072 · 10th to 90th $513 to $1,148
$100$200$500$1K$2K$5Kfacility $1,072professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$676.08
Typical High
$1,096.48
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,630.27
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,230.27
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,148.15
Providence
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,630.27
Typical High
$7,585.78
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$954.99
Typical High
$1,071.52
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,122.02
Typical High
$1,258.93

Where Montana 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

Montana· 51st of 51

$2,143

$1,072 physician + $1,072 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.