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Long Arm Splint Supplies, Pediatric, Plaster

Utah rates for HCPCS Q4019

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

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $3$30%50%$3Professionalmedian $4 · 10th–90th $3$150%20%10th90th$4$2.0$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
$3.24
Median
$3.24
Typical High
$3.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.72
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.25
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.07
Typical High
$4.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.75
Typical High
$6.03
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.75
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.40
Typical High
$3.89