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South Dakota rates for HCPCS Q4035

Cast Supplies Long Leg Cylinder Cast Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.73 / $10.73 / $10.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $11.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $31.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $24.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $19.45 / $31.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $13.41 / $127.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.46 / $19.17 / $24.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $18.51 / $34.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $16.82 / $22.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $8.39 / $13.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $15.15 / $15.15