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Setting a Broken Forearm Without Surgery

Wisconsin 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 $3,162 · 10th–90th $457$6,0260%10%10th90th$3,162Professionalmedian $1,445 · 10th–90th $912$2,0420%10%20%10th90th$1,445$1.0$5.0$20.0$100.0$500.0$2.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$512.86
Typical High
$1,949.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,570.88
Typical High
$7,079.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,621.81
Typical High
$2,630.27
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$794.33
Typical High
$3,548.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$1,862.09
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$2,041.74
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,235.94
Typical High
$4,786.30
Quartz
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,311.31
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,659.59
Typical High
$3,467.37