go back

South Dakota rates for HCPCS Q4040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $19.22 / $69.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.50 / $38.50 / $48.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $37.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.72 / $29.71 / $48.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $20.49 / $365.74
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.21 / $29.30 / $37.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $28.69 / $58.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.45 / $25.72 / $34.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $21.39 / $33.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.15 / $23.15 / $23.15