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Long Arm Splint Supplies, Pediatric, Fiberglass

Montana rates for HCPCS Q4020

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

Rates data updated July 2026.

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

$7.76

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $7.76 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $8.91 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7.24$5.50 to $8.91
FacilityA hospital or hospital-owned outpatient department$8.91$8.71 to $11.22

How much rates vary

Facilitymedian $9 · 10th to 90th $7 to $27Professionalmedian $7 · 10th to 90th $4 to $18
$10$100$1K$10K$100Kfacility $9professional $7

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.08
Typical High
$17.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$9.55
Typical High
$9.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$8.91
Typical High
$17.38
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$8.91
Typical High
$17.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$9.55
Typical High
$24.55
Providence
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$9.55
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$5.01

Where Montana sits

The same service costs 1.7 times more in Wisconsin than in Ohio. 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· 13th of 51

$7.76

WI $9.33OH $5.62

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.