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South Dakota rates for HCPCS Q4007

Cast Supplies Long Arm Cast Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $5.16 / $5.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.16 / $5.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $12.00 / $15.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.38 / $11.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.09 / $9.35 / $29.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $6.45 / $107.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.88 / $9.21 / $11.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $9.02 / $17.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.09 / $10.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $4.04 / $6.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28