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Setting a Broken Scaphoid Wrist Bone

Maryland rates for HCPCS 25624

Treatment of a break in the scaphoid, a small boat-shaped bone on the thumb side of the wrist, without opening the skin. The doctor moves the fragments back into a better position by hand and then holds the wrist in a cast or splint while it heals. Follow-up x-rays check that the alignment is maintained.

Rates data updated July 2026.

How much does Setting a Broken Scaphoid Wrist Bone cost?

$490

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $447 to $537.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $427 · 10th to 90th $123 to $955Professionalmedian $490 · 10th to 90th $407 to $776
$200$500$1K$2Kfacility $427professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$537.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$1,000.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$831.76

Where Maryland sits

The same service costs 3.2 times more in California than in West Virginia. 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.

Maryland· 47th of 51

$490

CA $1,549WV $479

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.