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South Dakota rates for HCPCS Q4047

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $11.00 / $13.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $8.25 / $10.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $8.35 / $13.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $5.76 / $63.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $8.23 / $10.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $8.06 / $15.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.22 / $9.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.61 / $9.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50