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Short Arm Splint Supplies, Adult, Fiberglass

Washington rates for HCPCS Q4022

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

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $13$520%10%20%10th90th$21Professionalmedian $15 · 10th–90th $9$370%10%10th90th$15$5.0$10.0$20.0$50.0$100.0

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
$8.71
Median
$8.71
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$15.85
Typical High
$37.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$23.99
Typical High
$28.84
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.31
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$29.51
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$28.18
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$32.36
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$15.14
Typical High
$15.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$26.92
Typical High
$38.90
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$14.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.18
Typical High
$16.98
United
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$11.48
Typical High
$12.30
United
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.46
Typical High
$12.30
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$23.44