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Repair Of Tendon Sheath At Wrist With Graft

Rhode Island 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 July 2026.

How much rates vary

Facilitymedian $3,802 · 10th to 90th $2,754 to $7,762
$5.0K$10.0Kfacility $3,802

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
$2,754.23
Median
$3,019.95
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,128.61
Typical High
$10,000.00