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South Dakota rates for HCPCS Q4024

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $8.88 / $27.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $14.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $9.00 / $11.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $9.01 / $16.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $6.06 / $148.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.34 / $8.66 / $10.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $8.48 / $23.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $7.61 / $10.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.80 / $6.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $6.85 / $6.85