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Long Arm Splint Supplies, Pediatric, Plaster

Montana rates for HCPCS Q4019

Cast supplies, long arm splint, pediatric (0-10 years), plaster

Rates data updated October 2026.

How much does Long Arm Splint Supplies, Pediatric, Plaster cost?

$6.03

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $6.03 for this service. The price depends on where it is billed: about $6.03 from a physician practice, and about $7.24 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6.03$4.47 to $6.31
FacilityA hospital or hospital-owned outpatient department$7.24$6.03 to $331

How much rates vary

Facilitymedian $7 · 10th to 90th $6 to $339Professionalmedian $6 · 10th to 90th $2 to $79
$5$10$20$50$100$200facility $7professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$4.57
Typical High
$7.76
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$8.91
Typical High
$338.84
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$7.24
Typical High
$354.81
Providence
Setting
Facility
Modifier
None
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Providence
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$6.03
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.40
Typical High
$4.07

Where Montana sits

The same service costs 3.0 times more in Rhode Island than in New York. 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· 3rd of 51

$6.03

RI $6.76NY $2.29

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.