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Open Forearm Amputation, Wound Left Open

Utah rates for HCPCS 25905

Amputates the forearm through both bones and deliberately leaves the wound open rather than closing it. This is done when infection or contamination makes immediate closure unsafe. Closing or reshaping the stump is a separate operation done later.

Rates data updated July 2026.

Facilitymedian $4,169 · 10th–90th $1,023$23,9880%20%10th90th$4,169Professionalmedian $1,023 · 10th–90th $646$3,8900%20%10th90th$1,023$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
$1,023.29
Median
$3,388.44
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$3,890.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,318.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,148.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$25,118.86
Typical High
$37,153.52
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,698.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$1,380.38
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$1,202.26