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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 October 2026.

How much does Short Arm Splint Supplies, Adult, Fiberglass cost?

$15.85

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $19.50 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$12.02 to $16.98
FacilityA hospital or hospital-owned outpatient department$19.50$15.85 to $891

How much rates vary

Facilitymedian $19 · 10th to 90th $15 to $912Professionalmedian $16 · 10th to 90th $6 to $79
$10$20$50$100$200$500$1Kfacility $19professional $16

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$8.71
Median
$13.80
Typical High
$20.42
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$20.89
Median
$20.89
Typical High
$20.89
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$15.49
Median
$38.02
Typical High
$912.01
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$15.49
Median
$19.50
Typical High
$954.99
Providence
Setting
Facility
Modifier
None
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Providence
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$15.85
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$6.17
Median
$6.46
Typical High
$10.72

Where Montana sits

The same service costs 4.5 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.

Montana· 4th of 51

$15.85

RI $27.54NY $6.17

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.