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Forearm Bone Gap Repair With Patient's Own Graft

New Jersey 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?

$1,288

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $7,079 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,023$933 to $1,862
FacilityA hospital or hospital-owned outpatient department$7,079$6,026 to $10,000

How much rates vary

Facilitymedian $7,079 · 10th to 90th $4,169 to $11,749Professionalmedian $1,023 · 10th to 90th $871 to $5,888
$1K$2K$5K$10K$20Kfacility $7,079professional $1,023

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
$4,168.69
Median
$6,918.31
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$3,090.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,548.82
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$22,908.68
Typical High
$36,307.81
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$4,897.79
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$2,454.71

Where New Jersey 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.

New Jersey· 34th of 51

$1,288

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.