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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.

Facilitymedian $10 · 10th–90th $6$170%10%20%10th90th$10Professionalmedian $7 · 10th–90th $5$120%10%10th90th$7$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
$6.17
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