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South Dakota rates for HCPCS Q4023

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $2.70 / $2.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.89 / $6.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $6.50 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $6.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.98 / $7.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $3.37 / $68.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.83 / $6.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.87 / $4.72 / $9.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.23 / $5.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.11 / $3.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $3.81 / $3.81