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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 October 2026.

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

$3.24

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $3.24 for this service. Most negotiated rates run $2.40 to $4.07.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $3 · 10th to 90th $2 to $5
$2$5$10$20facility $3professional $3

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.62
Median
$1.62
Typical High
$1.62
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.48
Median
$0.48
Typical High
$0.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.32
Median
$0.32
Typical High
$0.32
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
Molina
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$30.20
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Select Health
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Select Health
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$6.03
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$4.27
Median
$6.03
Typical High
$8.32
United
Setting
Professional
Modifier
None
Typical Low
$1.91
Median
$2.40
Typical High
$4.68

Where Utah 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.

Utah· 34th of 51

$3.24

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.