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South Dakota rates for HCPCS Q4044

Cast Supplies Long Leg Splint Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.61 / $13.61 / $13.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $13.61 / $38.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $32.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.75 / $24.75 / $30.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.96 / $24.67 / $40.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $16.98 / $210.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.41 / $24.32 / $30.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $23.79 / $46.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.79 / $21.35 / $28.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $17.73 / $17.73
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $19.22 / $19.22