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Long Arm Splint Supplies, Pediatric, Plaster

Washington rates for HCPCS Q4019

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

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $5$140%10%20%10th90th$8Professionalmedian $5 · 10th–90th $3$170%10%10th90th$5$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
$7.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.17
Typical High
$16.98
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$6.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$10.00
Typical High
$17.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$9.77
Typical High
$16.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$32.36
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.75
Typical High
$5.75
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$10.00
Typical High
$14.45
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.68
Typical High
$5.50
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$4.90
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$4.27
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.40
Typical High
$4.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$8.71