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Forearm or Wrist Tendon Transfer With a Graft

South Dakota rates for HCPCS 25312

A working tendon in the forearm or wrist is rerouted to take over the job of one that no longer functions, restoring movement of the wrist or fingers. A length of tendon taken from elsewhere in the body is used to bridge the gap and complete the connection. It covers a single tendon; if more than one is treated, each is billed separately.

Rates data updated October 2026.

How much does Forearm or Wrist Tendon Transfer With a Graft cost?

$4,076

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

Insurers have agreed to pay about $4,076 for this procedure. That total is two separate charges: $1,445 to the doctor who performs it, and $2,630 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$1,445$1,000 to $1,698
Facility feeThe hospital or surgery center$2,630$1,288 to $3,020

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,023 to $3,311Professionalmedian $1,445 · 10th to 90th $759 to $1,995
$1K$2K$5Kfacility $2,630professional $1,445

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
$707.95
Median
$707.95
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$707.95
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,659.59
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,621.81
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,584.89
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,071.52
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,412.54
Typical High
$1,995.26
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,698.24

Where South Dakota sits

The same service costs 4.4 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

South Dakota· 29th of 51

$4,076

$1,445 physician + $2,630 facility

WI $9,724MT $2,195

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.