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Short Arm Splint Supplies, Adult, Plaster

Wisconsin rates for HCPCS Q4021

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

Rates data updated July 2026.

Facilitymedian $9 · 10th–90th $9$150%50%90th$9Professionalmedian $8 · 10th–90th $4$360%20%10th90th$8$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$4.90
Median
$4.90
Typical High
$5.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.50
Typical High
$15.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$27.54
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$12.30
Typical High
$16.22
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.41
Typical High
$17.78
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$54.95
Typical High
$67.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$8.51
Typical High
$19.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.17
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$11.22
Typical High
$20.89
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.41
Typical High
$17.78
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$11.48
Quartz
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.88
Typical High
$21.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$89.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$38.02
Typical High
$144.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$20.42
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$17.38
Typical High
$87.10