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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
$15.50 / $15.50 / $15.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $29.37 / $69.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.50 / $36.50 / $45.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.13 / $28.13 / $35.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.31 / $28.09 / $45.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $19.38 / $355.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.66 / $27.70 / $34.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.24 / $27.13 / $57.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $24.31 / $32.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $12.13 / $20.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88