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Forearm Bone Gap Repair With Patient's Own Graft

South Dakota 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?

$1,738

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $2,138 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 7 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$1,738$1,023 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,138$1,514 to $3,548

How much rates vary

Facilitymedian $2,138 · 10th to 90th $1,148 to $4,365Professionalmedian $1,738 · 10th to 90th $813 to $2,754
$1K$2K$5K$10Kfacility $2,138professional $1,738

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
$954.99
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$954.99
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,621.81
Typical High
$2,511.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,737.80
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,187.76
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,089.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$2,630.27
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,290.87

Where South Dakota 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.

South Dakota· 14th of 51

$1,738

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.