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Wrist Bone Fracture Treatment, Closed

South Dakota rates for HCPCS 25630

Treats a broken small bone in the wrist (other than the scaphoid, the wrist bone most commonly fractured) without surgery, allowing it to heal in its current position while supported by a splint or cast. This closed approach does not involve repositioning the bone or using hardware such as pins, screws, or wires. It applies to a single wrist bone.

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $282$2,2910%10%10th90th$501Professionalmedian $513 · 10th–90th $269$7760%10%10th90th$513$200.0$500.0$1.0K$2.0K

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
$281.84
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$213.80
Median
$213.80
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$724.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$645.65
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$645.65
Typical High
$691.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$676.08
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$512.86
Typical High
$812.83
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$870.96