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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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $23.44 / $39.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.72 / $208.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.44 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $38.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.38 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.12 / $21.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05