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Surgery for a Broken Wrist Bone

Iowa rates for HCPCS 25628

Repairs a broken scaphoid, one of the small bones on the thumb side of the wrist, through an incision. The pieces are lined up under direct view and usually held together with a screw passed across the break. It is chosen because this bone has a fragile blood supply and can fail to knit if the fragments are not held firmly, which would leave a painful, arthritic wrist.

Facilitymedian $4,266 · 10th–90th $1,148$13,4900%5%10th90th$4,266Professionalmedian $1,318 · 10th–90th $692$2,2910%10%10th90th$1,318$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,148.15
Median
$3,981.07
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,000.00
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,905.46
Typical High
$17,782.79
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,621.81
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$12,882.50
Typical High
$19,054.61