go back

South Dakota rates for HCPCS Q4038

Cast Supplies Short Leg Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.81 / $32.81 / $32.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.96 / $39.15 / $140.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.50 / $76.50 / $95.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.63 / $59.63 / $74.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.45 / $59.44 / $96.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $40.99 / $731.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.44 / $58.63 / $74.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $57.39 / $116.39
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.91 / $51.45 / $68.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.07 / $25.66 / $42.77
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.31 / $46.31 / $46.31