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South Dakota rates for HCPCS Q4043

Cast supplies, long leg splint, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.97 / $7.97 / $7.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $7.97 / $8.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $18.50 / $23.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $14.63 / $18.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $14.43 / $23.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $9.96 / $98.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $14.23 / $17.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.43 / $13.94 / $26.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $12.49 / $16.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $6.23 / $10.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.24 / $11.24 / $11.24