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Short Arm Splint Supplies, Adult, Plaster

South Dakota rates for HCPCS Q4021

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

Rates data updated July 2026.

How much does Short Arm Splint Supplies, Adult, Plaster cost?

$7.24

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $9.77 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$7.24$5.75 to $9.77
FacilityA hospital or hospital-owned outpatient department$9.77$8.51 to $12.88

How much rates vary

Facilitymedian $10 · 10th to 90th $6 to $17Professionalmedian $7 · 10th to 90th $5 to $12
$5$10$20$50facility $10professional $7

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
$6.17
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.75
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$16.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$12.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$9.77
Typical High
$16.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.55
Typical High
$138.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$15.14
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.51
Typical High
$11.22
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$4.17
Typical High
$9.77
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92

Where South Dakota sits

The same service costs 1.6 times more in Minnesota than in West Virginia. 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

$7.24

MN $8.51WV $5.25

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.