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Gauntlet Cast Supplies, Pediatric, Fiberglass

Montana 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?

$13.18

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $13.18 for this service. The price depends on where it is billed: about $12.59 from a physician practice, and about $16.22 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$8.71 to $16.98
FacilityA hospital or hospital-owned outpatient department$16.22$13.80 to $19.05

How much rates vary

Facilitymedian $16 · 10th to 90th $13 to $30Professionalmedian $13 · 10th to 90th $8 to $38
$10$20$50facility $16professional $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
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.22
Typical High
$38.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$17.38
Typical High
$17.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$16.22
Typical High
$31.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$16.22
Typical High
$31.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$17.38
Typical High
$30.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$17.38
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.08
Typical High
$8.71

Where Montana 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.

Montana· 16th of 51

$13.18

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.