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Forearm Bone Gap Repair With Patient's Own Graft

Maryland rates for HCPCS 25425

Fills a gap or defect in one of the two forearm bones with bone taken from elsewhere in the patient's own body, restoring the bone's continuity and strength. The gap is typically what is left behind after a cyst or benign growth has been scooped out, or where a segment of bone has been lost. The graft is packed or wedged into the defect and held there while it unites with the surrounding bone.

Rates data updated July 2026.

How much does Forearm Bone Gap Repair With Patient's Own Graft cost?

$1,000

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $955 to $1,096.

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.

How much rates vary

Facilitymedian $912 · 10th to 90th $513 to $6,457Professionalmedian $1,000 · 10th to 90th $891 to $1,698
$1K$2K$5K$10Kfacility $912professional $1,000

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
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,071.52
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,071.52
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,348.96
Typical High
$2,137.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,445.44

Where Maryland sits

The same service costs 5.1 times more in California than in Delaware. 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.

Maryland· 50th of 51

$1,000

CA $5,012DE $977

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.