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Shoulder Cast Supplies, Adult, Plaster

South Dakota rates for HCPCS Q4003

Cast supplies, shoulder cast, adult (11 years +), plaster

Rates data updated July 2026.

Facilitymedian $48 · 10th–90th $32$870%10%20%10th90th$48Professionalmedian $41 · 10th–90th $28$630%20%10th90th$41$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
$31.62
Median
$31.62
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$30.20
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$18.62
Typical High
$398.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$79.43
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.88
Typical High
$51.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48