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South Dakota rates for HCPCS Q4021

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

Facilitymedian $9 · 10th–90th $5–$160%20%10th90th$9Professionalmedian $6 · 10th–90th $5–$150%20%10th90th$6$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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.50 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $12.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $16.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.55 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $15.14
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.51 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $4.17 / $9.77
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59