go back

South Dakota rates for HCPCS Q4016

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass

Facilitymedian $17 · 10th–90th $10–$310%20%10th90th$17Professionalmedian $11 · 10th–90th $9–$300%20%10th90th$11$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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $30.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.08 / $165.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $29.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.32 / $19.50
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79