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South Dakota rates for HCPCS Q4039

Cast Supplies Short Leg Cast Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.57 / $6.57 / $6.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.57 / $7.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $15.50 / $19.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $15.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $12.20 / $19.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $8.19 / $173.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $11.74 / $14.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $11.48 / $27.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.58 / $10.29 / $13.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $8.56 / $11.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.26 / $9.26 / $9.26