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Reinforcing One Forearm Bone Before A Break

New Hampshire 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 $2,818 · 10th–90th $2,399$11,4820%10%20%10th90th$2,818Professionalmedian $1,096 · 10th–90th $759$1,8620%10%10th90th$1,096$100.0$500.0$2.0K$10.0K$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
$2,398.83
Median
$2,818.38
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$1,513.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$10,471.29
Typical High
$19,952.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,445.44
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$2,238.72
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$2,238.72
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$645.65
Typical High
$891.25