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Setting a Broken Scaphoid Wrist Bone

Vermont 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?

$550

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $550 for this service. Most negotiated rates run $501 to $589.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $550 · 10th to 90th $468 to $692
$500$1Kprofessional $550

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$977.24
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$1,174.90

Where Vermont 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.

Vermont· 34th of 51

$550

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.