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South Dakota rates for HCPCS Q4020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.80 / $5.80 / $5.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $7.04 / $8.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $13.50 / $16.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.50 / $13.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $10.62 / $17.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.62 / $7.24 / $148.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.98 / $10.38 / $13.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.14 / $23.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $9.10 / $12.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $4.54 / $8.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $8.19