go back

South Dakota rates for HCPCS Q4012

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $17.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $13.49 / $24.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.03 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.49 / $13.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $21.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.30 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.13 / $12.59
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96