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South Dakota rates for HCPCS Q4009

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.89 / $6.89 / $6.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $23.63 / $31.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $16.00 / $20.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.38 / $15.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.81 / $12.49 / $26.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $8.61 / $167.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $12.33 / $15.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $12.07 / $26.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $10.81 / $14.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.59 / $5.39 / $8.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.73 / $9.73 / $9.73