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South Dakota rates for HCPCS Q4027

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $15.06 / $15.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $15.06 / $16.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $43.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.38 / $27.38 / $34.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $27.28 / $44.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $18.80 / $305.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.90 / $26.92 / $33.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $26.33 / $51.73
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $23.61 / $31.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $18.80 / $19.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $21.25 / $21.25