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Gauntlet Cast Supplies, Pediatric, Fiberglass

Michigan rates for HCPCS Q4016

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass

Rates data updated July 2026.

How much does Gauntlet Cast Supplies, Pediatric, Fiberglass cost?

$12.59

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $12.59 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $29.51 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 6 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$12.59$9.77 to $16.60
FacilityA hospital or hospital-owned outpatient department$29.51$12.59 to $54.95

How much rates vary

Facilitymedian $30 · 10th to 90th $13 to $76Professionalmedian $13 · 10th to 90th $8 to $22
$10$20$50$100facility $30professional $13

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
$12.59
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.59
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$44.67
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.77
Typical High
$19.50
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$12.02
Typical High
$33.11
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.59
Typical High
$20.42
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
United
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$11.48

Where Michigan sits

The same service costs 1.9 times more in South Dakota than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Michigan· 19th of 51

$12.59

SD $19.05OH $10.00

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.