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South Dakota rates for HCPCS Q4022

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

Facilitymedian $13 · 10th–90th $9–$280%10%20%10th90th$13Professionalmedian $19 · 10th–90th $9–$560%10%10th90th$19$10.0$20.0$50.0$100.0$200.0

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
$8.91 / $10.96 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $20.89 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $34.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.46 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $27.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.59 / $17.78
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80