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South Dakota rates for HCPCS Q4017

Cast supplies, long arm splint, adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.77 / $13.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $17.00 / $21.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.13 / $16.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $13.13 / $21.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $9.06 / $137.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $12.96 / $16.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $12.68 / $24.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $11.37 / $15.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $5.67 / $9.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23