go back

South Dakota rates for HCPCS Q4049

Finger Splint Static

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $1.68 / $1.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $7.96 / $10.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $5.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.12 / $19.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $2.10 / $167.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.99 / $3.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.41 / $2.89 / $3.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.63 / $3.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $2.19 / $2.19
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37