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South Dakota rates for HCPCS Q4017

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

Facilitymedian $11 · 10th–90th $7–$210%20%10th90th$11Professionalmedian $8 · 10th–90th $6–$170%20%10th90th$8$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
$6.61 / $7.08 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $12.59 / $21.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.79 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $20.42
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.48 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.62 / $13.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23