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South Dakota rates for HCPCS Q4051

Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $12.68 / $28.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.64 / $21.43 / $34.74