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Long Arm Splint Supplies, Pediatric, Fiberglass

South Dakota rates for HCPCS Q4020

Cast supplies, long arm splint, pediatric (0-10 years), fiberglass

Rates data updated July 2026.

How much does Long Arm Splint Supplies, Pediatric, Fiberglass cost?

$7.76

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $10.47 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$7.59$6.17 to $10.47
FacilityA hospital or hospital-owned outpatient department$10.47$9.12 to $14.13

How much rates vary

Facilitymedian $10 · 10th to 90th $7 to $19Professionalmedian $8 · 10th to 90th $6 to $13
$5$10$20$50$100facility $10professional $8

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
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$12.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$13.18
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$10.47
Typical High
$18.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$16.22
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.12
Typical High
$12.02
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.57
Typical High
$10.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41

Where South Dakota sits

The same service costs 1.7 times more in Wisconsin 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· 12th of 51

$7.76

WI $9.33OH $5.62

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.