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South Dakota rates for HCPCS 29405

Application of short leg cast (below knee to toes);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.45 / $58.45 / $81.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $82.20 / $186.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.78 / $167.51 / $238.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.66 / $117.81 / $191.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.48 / $183.40 / $605.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.84 / $144.63 / $209.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.98 / $155.74 / $209.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.33 / $115.80 / $161.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.95 / $150.53 / $220.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $140.60 / $196.30