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South Dakota rates for HCPCS Q4005

Cast supplies, long arm cast, adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.32 / $10.32 / $10.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $10.64 / $11.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $24.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.75 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.19 / $18.71 / $30.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $12.90 / $217.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.75 / $18.46 / $23.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.81 / $18.05 / $35.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $16.19 / $21.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.38 / $8.08 / $13.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.57 / $14.57 / $14.57