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Reinforcing One Forearm Bone Before A Break

Washington, DC rates for HCPCS 25491

Strengthens a single bone of the forearm before it breaks, using a rod, plate, pins, or wires, sometimes with bone cement to fill a weakened cavity. It is done when the bone has been weakened by a tumor or another disease and is likely to fracture under ordinary use. Only one of the two forearm bones is treated, rather than both.

Facilitymedian $4,074 · 10th–90th $1,413$7,7620%10%20%10th90th$4,074Professionalmedian $776 · 10th–90th $661$1,7380%20%10th90th$776$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$1,621.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$2,818.38
Typical High
$17,782.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$2,089.30
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,513.56
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$16,218.10
Typical High
$63,095.73
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$2,089.30