go back

Long Arm Splint Supplies, Pediatric, Plaster

Texas rates for HCPCS Q4019

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $4$160%10%20%10th90th$6Professionalmedian $4 · 10th–90th $3$50%20%10th90th$4$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
$3.72
Median
$3.72
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.80
Typical High
$5.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$7.08
Typical High
$15.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$72.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.75
Typical High
$13.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$5.50
Typical High
$5.75
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$5.75
Typical High
$14.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
United
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$3.09
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.57
Typical High
$3.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$7.76