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South Dakota rates for HCPCS Q4013

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $12.02 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $28.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $20.89 / $37.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.77 / $158.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.38 / $21.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $35.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $19.50 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $8.32 / $20.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78