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South Dakota rates for HCPCS Q4039

Cast supplies, short leg cast, pediatric (0-10 years), plaster

Facilitymedian $10 · 10th–90th $6–$190%20%10th90th$10Professionalmedian $7 · 10th–90th $5–$130%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.02 / $20.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.37 / $173.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $18.62
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.23 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $5.13 / $12.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33