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South Dakota rates for HCPCS Q4040

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

Facilitymedian $26 · 10th–90th $16$480%20%10th90th$26Professionalmedian $25 · 10th–90th $16$690%20%10th90th$25$10.0$20.0$50.0$100.0$200.0

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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.38 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $37.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $28.84 / $52.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.96 / $363.08
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $45.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.88 / $30.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91