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Reinforcing One Forearm Bone Before A Break

Georgia 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 $5,370 · 10th–90th $1,318$11,7490%5%10%10th90th$5,370Professionalmedian $955 · 10th–90th $676$1,5490%10%10th90th$955$100.0$500.0$2.0K$10.0K

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
$1,318.26
Median
$5,370.32
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$4,265.80
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$11,481.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$1,905.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,309.57
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,047.13
Typical High
$1,698.24