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Short Arm Splint Supplies, Adult, Fiberglass

South Dakota rates for HCPCS Q4022

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

Rates data updated July 2026.

Facilitymedian $17 · 10th–90th $11$350%10%20%10th90th$17Professionalmedian $19 · 10th–90th $10$560%10%10th90th$19$10.0$20.0$50.0$100.0$200.0

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
$10.96
Median
$10.96
Typical High
$10.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$19.05
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$21.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$17.38
Typical High
$34.67
Medica
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.46
Typical High
$295.12
Midlands
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$27.54
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.14
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.59
Typical High
$17.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$12.30
Typical High
$12.30