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South Dakota rates for HCPCS Q4012

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

Facilitymedian $12 · 10th–90th $7–$220%20%10th90th$12Professionalmedian $13 · 10th–90th $7–$230%10%10th90th$13$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $13.18 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $17.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $24.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $5.13 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $21.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.30 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.03 / $14.45
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96