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Short Arm Splint Supplies, Adult, Plaster

Michigan rates for HCPCS Q4021

Cast supplies, short arm splint, adult (11 years +), plaster

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $6$390%20%10th90th$15Professionalmedian $7 · 10th–90th $5$100%10%20%10th90th$7$2.0$5.0$10.0$20.0$50.0$100.0

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
$6.46
Median
$6.46
Typical High
$6.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.46
Typical High
$10.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$22.39
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.90
Typical High
$9.77
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$16.60
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.61
Typical High
$10.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$6.31