go back

South Dakota rates for HCPCS Q4004

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

Facilitymedian $148 · 10th–90th $95–$2820%20%10th90th$148Professionalmedian $110 · 10th–90th $85–$2040%20%10th90th$110$100.0$200.0$500.0

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
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $97.72 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $218.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $162.18 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $64.57 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $275.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $151.36 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $75.86 / $169.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04