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South Dakota rates for HCPCS Q4011

Cast supplies, short arm cast, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.68 / $4.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $7.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $6.22 / $10.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $4.29 / $83.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $6.14 / $7.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $6.01 / $12.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $5.39 / $7.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.69 / $4.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84