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Other Surgery On The Forearm Or Wrist

Pennsylvania rates for HCPCS 25999

Covers an operation on the forearm or wrist that has no standard named entry of its own. The surgeon submits a written report describing exactly what was done so the insurer can compare it with similar named operations and set a price.

Rates data updated October 2026.

How much does Other Surgery On The Forearm Or Wrist cost?

$759

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $58,884 from a physician practice, and about $589 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58,884$58,884 to $58,884
FacilityA hospital or hospital-owned outpatient department$589$129 to $1,698

How much rates vary

Facilitymedian $589 · 10th to 90th $69 to $5,495Professionalmedian $58,884 · 10th to 90th $1,585 to $58,884
$100$1K$10Kfacility $589professional $58,884

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$2,570.40
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$1,513.56
Typical High
$6,165.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Capital Blue Cross
Setting
Professional
Modifier
50 · Both sides
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Capital Blue Cross
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$41,686.94
Median
$43,651.58
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$645.65
Typical High
$2,290.87
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$758.58
Typical High
$6,606.93
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$363.08
Typical High
$602.56
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$2,454.71
Typical High
$7,244.36
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$1,584.89
Typical High
$7,244.36
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$53.70
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$158.49
Typical High
$1,230.27

Where Pennsylvania sits

The same service costs 58.9 times more in Alaska than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 20th of 51

$759

AK $4,677MT $79.43

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.