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Short Arm Splint Supplies, Pediatric, Plaster

South Dakota rates for HCPCS Q4023

Cast supplies, short arm splint, pediatric (0-10 years), plaster

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $3$90%10%20%10th90th$5Professionalmedian $4 · 10th–90th $3$60%10%10th90th$4$2.0$5.0$10.0$20.0$50.0

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
$3.09
Median
$3.09
Typical High
$3.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.88
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$6.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$8.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.78
Typical High
$69.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$7.59
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.27
Typical High
$5.62
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.09
Typical High
$5.01
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47