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South Dakota rates for HCPCS Q4050

Cast Supplies For Unlisted Types And Materials Of Casts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.69 / $23.69 / $28.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $8.96 / $8.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.27 / $29.27 / $29.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $20.68 / $20.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $33.63 / $33.63
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $28.00