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South Dakota rates for HCPCS Q4003

Cast supplies, shoulder cast, adult (11 years +), plaster

Facilitymedian $44 · 10th–90th $27–$810%20%10th90th$44Professionalmedian $30 · 10th–90th $25–$590%20%10th90th$30$20.0$50.0$100.0$200.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.18 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $47.86 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.62 / $398.11
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $79.43
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $43.65 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.88 / $51.29
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81