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Gauntlet Cast Supplies, Pediatric, Fiberglass

South Dakota rates for HCPCS Q4016

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass

Rates data updated July 2026.

How much does Gauntlet Cast Supplies, Pediatric, Fiberglass cost?

$19.05

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $18.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.05$11.22 to $23.99
FacilityA hospital or hospital-owned outpatient department$18.20$16.22 to $23.44

How much rates vary

Facilitymedian $18 · 10th to 90th $12 to $32Professionalmedian $19 · 10th to 90th $9 to $40
$10$20$50facility $18professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$21.38
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$23.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$18.20
Typical High
$30.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.08
Typical High
$165.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$29.51
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$21.88
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.32
Typical High
$19.50
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49

Where South Dakota sits

The same service costs 1.9 times more in South Dakota than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 1st of 51

$19.05

SD $19.05OH $10.00

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.