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South Dakota rates for HCPCS Q4006

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.26 / $23.26 / $23.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $59.89 / $87.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.50 / $54.50 / $68.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $42.38 / $52.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.47 / $42.13 / $68.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $29.06 / $461.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.01 / $41.56 / $52.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $40.68 / $79.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.43 / $36.47 / $48.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $29.06 / $30.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.82 / $32.82 / $32.82