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Surgery for a Broken Wrist Bone

South Dakota 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 $4,365 · 10th–90th $724$13,4900%20%10th90th$4,365Professionalmedian $1,202 · 10th–90th $275$1,4790%10%20%10th90th$1,202$500.0$1.0K$2.0K$5.0K$10.0K

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
$724.44
Median
$9,332.54
Typical High
$13,489.63
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08