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South Dakota rates for HCPCS Q4010

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $32.36 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $26.92 / $48.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.02 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.92 / $26.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $43.65
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $24.55 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.23 / $25.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88