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Reinforcing One Forearm Bone Before A Break

South Dakota 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 $1,259 · 10th–90th $741$4,3650%20%10th90th$1,259Professionalmedian $955 · 10th–90th $676$1,9500%10%10th90th$955$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
$741.31
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,698.24
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,949.84
Medica
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$6,165.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,659.59
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,041.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,778.28
Typical High
$1,778.28