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Short Arm Splint Supplies, Adult, Plaster

Tennessee rates for HCPCS Q4021

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

Rates data updated July 2026.

Facilitymedian $89 · 10th–90th $5$890%50%10th$89Professionalmedian $6 · 10th–90th $4$140%10%20%10th90th$6$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$4.37
Median
$4.90
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.03
Typical High
$13.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.92
Typical High
$10.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$9.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.80
Typical High
$4.57