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Repair Of Tendon Sheath At Wrist With Graft

Wisconsin 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 does Repair Of Tendon Sheath At Wrist With Graft cost?

$6,761

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $2,188 to $9,120.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,380 to $12,589Professionalmedian $1,549 · 10th to 90th $1,000 to $2,188
$1.0K$2.0K$5.0K$10.0Kfacility $7,943professional $1,549

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
$660.69
Median
$8,317.64
Typical High
$12,302.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,317.64
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$3,311.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,380.38
Typical High
$6,760.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,412.54
Typical High
$11,481.54
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$8,511.38
Typical High
$9,120.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,445.44
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,479.11
Typical High
$2,187.76
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,456.54
Typical High
$9,332.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$10,232.93
Typical High
$12,022.64

Where Wisconsin sits

The same service costs 15.1 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $6,761 · 9th of 50
IN $10,233ND $676

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.