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South Dakota rates for HCPCS Q4018

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.56 / $11.56 / $11.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $13.94 / $56.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $33.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $26.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.12 / $21.46 / $33.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $14.44 / $293.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.89 / $20.66 / $26.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $20.22 / $46.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $18.12 / $23.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $9.03 / $15.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30