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South Dakota rates for HCPCS Q4036

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $25.70 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $42.66 / $77.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.89 / $269.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $45.71 / $45.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $75.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $41.69 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $17.78 / $42.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02