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South Dakota rates for HCPCS Q4001

Casting supplies, body cast adult, with or without head, plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.99 / $38.99 / $38.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.99 / $38.99 / $41.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.00 / $91.00 / $113.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.88 / $70.88 / $88.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.14 / $70.64 / $114.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.36 / $48.72 / $724.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.06 / $69.66 / $88.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.92 / $68.20 / $133.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $61.14 / $80.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $48.72 / $50.84
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.03 / $55.03 / $55.03