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FlexHD or AllopatchHD

South Dakota rates for HCPCS Q4128

FlexHD, or AllopatchHD, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $31 · 10th–90th $30$550%50%10th90th$31Professionalmedian $30 · 10th–90th $25$1260%50%10th90th$30$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.90
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$63.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.90
Typical High
$134.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$37.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$169.82
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20