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Short Arm Splint Supplies, Adult, Plaster

Vermont rates for HCPCS Q4021

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

Rates data updated October 2026.

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

$5.25

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $5.25 for this service. Most negotiated rates run $3.47 to $9.33.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $5 · 10th to 90th $3 to $14
$5$10$20professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$13.80
Typical High
$13.80
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$3.98
Median
$6.92
Typical High
$6.92
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.58
Median
$2.75
Typical High
$2.75
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$6.03
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$1.20
Median
$2.09
Typical High
$2.09
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.79
Median
$1.38
Typical High
$1.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$6.61
Typical High
$8.13
United
Setting
Professional
Modifier
None
Typical Low
$3.31
Median
$6.03
Typical High
$7.08

Where Vermont sits

The same service costs 4.1 times more in Rhode Island than in New York. 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.

Vermont· 31st of 51

$5.25

RI $13.80NY $3.39

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.