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Forearm Amputation Through Both Bones

New Hampshire rates for HCPCS 25900

This surgery removes the forearm through the radius and ulna, the two long bones between the wrist and elbow, typically due to severe trauma, infection, cancer, or a condition that has made the hand and forearm beyond saving. The surgeon shapes the remaining bone and soft tissue to create a stable, well-covered residual limb. This is the standard amputation, without the extra steps used for an immediate prosthetic fitting.

Rates data updated July 2026.

Facilitymedian $3,802 · 10th–90th $871$9,7720%10%10th90th$3,802Professionalmedian $1,096 · 10th–90th $724$1,6980%10%10th90th$1,096$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$2,630.27
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,380.38
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,148.15
Typical High
$2,187.76
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$2,041.74
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$251.19
Typical High
$870.96