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Reinforcing One Forearm Bone Before A Break

Utah 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 $6,026 · 10th–90th $3,162$10,2330%10%10th90th$6,026Professionalmedian $1,072 · 10th–90th $676$4,0740%20%10th90th$1,072$50.0$200.0$1.0K$5.0K$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
$1,071.52
Median
$5,888.44
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,584.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,318.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$25,118.86
Typical High
$38,904.51
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$1,862.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,380.38
Typical High
$1,778.28
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$794.33
Typical High
$1,288.25