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Long Leg Splint Supplies, Adult, Fiberglass

South Dakota rates for HCPCS Q4042

Cast supplies, long leg splint, adult (11 years +), fiberglass

Rates data updated July 2026.

How much does Long Leg Splint Supplies, Adult, Fiberglass cost?

$39.81

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $46.77 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$36.31$28.84 to $48.98
FacilityA hospital or hospital-owned outpatient department$46.77$41.69 to $58.88

How much rates vary

Facilitymedian $47 · 10th to 90th $31 to $83Professionalmedian $36 · 10th to 90th $22 to $62
$20.0$50.0$100.0$200.0facility $47professional $36

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$28.84
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$61.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$18.20
Typical High
$416.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Midlands
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$75.86
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$42.66
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$21.38
Typical High
$50.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67

Where South Dakota sits

The same service costs 1.9 times more in Wisconsin than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $39.81 · 7th of 51
WI $43.65WV $23.44

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.