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Setting a Broken Scaphoid Wrist Bone

Maine 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?

$562

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $468 to $724.

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 $3,311 · 10th to 90th $3,311 to $3,311Professionalmedian $562 · 10th to 90th $407 to $1,072
$500$1K$2Kfacility $3,311professional $562

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
$407.38
Median
$467.74
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$1,148.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$1,445.44
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,096.48

Where Maine 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.

Maine· 27th of 51

$562

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.