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Short Leg Splint Supplies, Pediatric, Plaster

South Dakota rates for HCPCS Q4047

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

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $5$140%20%10th90th$8Professionalmedian $7 · 10th–90th $5$100%20%10th90th$7$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
$5.25
Median
$5.25
Typical High
$5.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.90
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$7.76
Typical High
$13.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.09
Typical High
$63.10
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$12.88
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.24
Typical High
$9.55
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.63
Typical High
$8.51
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89