go back

South Dakota rates for HCPCS Q4019

Cast supplies, long arm splint, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $3.63 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.89 / $4.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $8.50 / $10.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $6.75 / $8.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.59 / $6.57 / $10.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $4.54 / $68.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.24 / $6.49 / $8.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $6.36 / $12.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.69 / $7.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $4.74 / $6.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $5.12 / $5.12