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South Dakota rates for HCPCS Q4031

Cast supplies, long leg cast, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $11.50 / $11.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $11.50 / $27.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.00 / $27.00 / $33.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $26.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $20.84 / $33.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $14.37 / $151.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.78 / $20.55 / $25.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $20.12 / $38.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $18.03 / $23.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $14.37 / $23.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $16.23 / $16.23