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South Dakota rates for HCPCS Q4034

Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $53.39 / $53.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.39 / $53.39 / $57.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $156.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.13 / $97.13 / $121.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.06 / $96.72 / $156.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $66.70 / $544.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.83 / $95.39 / $120.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.56 / $92.09 / $144.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $83.72 / $110.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.80 / $53.37 / $110.51
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $75.34 / $75.34