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South Dakota rates for HCPCS Q4005

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

Facilitymedian $16 · 10th–90th $10–$300%20%10th90th$16Professionalmedian $11 · 10th–90th $9–$210%20%40%10th90th$11$10.0$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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $23.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.78 / $33.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.92 / $218.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $28.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $16.22 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.13 / $19.05
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45