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Short Arm Splint Supplies, Adult, Fiberglass

Utah rates for HCPCS Q4022

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

Rates data updated July 2026.

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

$15.85

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $15.85 for this service. Most negotiated rates run $13.80 to $21.88.

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 $14 · 10th to 90th $14 to $15Professionalmedian $16 · 10th to 90th $9 to $37
$5.0$10.0$20.0$50.0$100.0facility $14professional $16

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
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$17.38
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$15.49
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.96
Typical High
$13.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Select Health
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.49
Typical High
$16.22
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$15.49
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.46
Typical High
$10.96

Where Utah sits

The same service costs 1.9 times more in South Dakota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $15.85 · 6th of 51
SD $18.62DE $9.55

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.