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Setting a Broken Forearm Without Surgery

Virginia rates for HCPCS 25565

Treats a break of both bones of the forearm — the radius and the ulna — without opening the skin. The arm is held in a cast or splint that keeps the bones in position while they knit, and the alignment is rechecked on X-ray as healing goes on. Whether the bones first have to be pushed and moulded back into position from the outside determines which version of this treatment applies.

Facilitymedian $891 · 10th–90th $501$4,8980%5%10%10th90th$891Professionalmedian $776 · 10th–90th $603$1,2020%20%10th90th$776$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,023.29
Typical High
$5,888.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$912.01
Medcost
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,202.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$977.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,047.13
Typical High
$2,398.83