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South Dakota rates for HCPCS Q4046

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $14.87 / $14.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.94 / $52.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $43.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.00 / $27.00 / $33.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.88 / $26.94 / $43.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $18.57 / $272.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.57 / $26.56 / $33.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $26.01 / $51.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.45 / $23.32 / $30.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $12.82 / $23.32
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99