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Reinforcing One Forearm Bone Before A Break

Michigan 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 $4,898 · 10th–90th $4,074$8,9130%20%10th90th$4,898Professionalmedian $776 · 10th–90th $661$1,6980%20%10th90th$776$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$4,073.80
Median
$4,073.80
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,698.24
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,348.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$4,073.80
Typical High
$5,754.40
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,584.89
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$912.01
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$10,964.78
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,230.27