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Wrist Bone Fracture Treatment Without Surgery

South Dakota rates for HCPCS 25622

This treats a fracture of one of the small bones on the thumb side of the wrist, most often the scaphoid bone, using a cast or splint rather than surgery. It is used when the broken pieces are already properly aligned and don't need to be manually repositioned. Healing is then monitored over time with follow-up imaging.

Facilitymedian $417 · 10th–90th $295$4,3650%10%20%10th90th$417Professionalmedian $363 · 10th–90th $263$7080%10%10th90th$363$500.0$1.0K$2.0K

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
$295.12
Median
$323.59
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$954.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$707.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$645.65
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$676.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$512.86
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$776.25