go back

South Dakota rates for HCPCS Q4042

Cast supplies, long leg splint, adult (11 years +), fiberglass

Facilitymedian $43 · 10th–90th $27–$790%20%10th90th$43Professionalmedian $29 · 10th–90th $24–$580%20%10th90th$29$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
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.92 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $46.77 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.20 / $416.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $75.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $21.38 / $50.12
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02