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Short Leg Cast Supplies, Pediatric, Fiberglass

South Dakota rates for HCPCS Q4040

Cast supplies, short leg cast, pediatric (0-10 years), fiberglass

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $19$520%20%10th90th$30Professionalmedian $28 · 10th–90th $16$690%10%20%10th90th$28$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
$18.62
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$21.38
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$37.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.84
Typical High
$52.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$10.96
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$45.71
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$33.88
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.88
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$20.89