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Short Arm Splint Supplies, Adult, Fiberglass

Montana rates for HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $12$450%20%40%10th90th$15Professionalmedian $14 · 10th–90th $9$370%20%10th90th$14$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.80
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$15.85
Typical High
$15.85
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$28.84
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$28.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$15.85
Typical High
$48.98
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.85
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$6.46
Typical High
$8.32