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South Dakota rates for HCPCS Q4048

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $7.44 / $7.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $6.44 / $7.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.50 / $17.50 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $13.50 / $16.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.46 / $13.49 / $21.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $9.28 / $137.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $13.29 / $16.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $13.01 / $25.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.73 / $11.67 / $15.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.82 / $11.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $10.50 / $10.50