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Short Arm Splint Supplies, Pediatric, Plaster

Montana rates for HCPCS Q4023

Cast supplies, short arm splint, pediatric (0-10 years), plaster

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $3$80%20%10th90th$4Professionalmedian $3 · 10th–90th $2$50%10%20%10th90th$3$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.24
Typical High
$3.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$4.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$4.47
Typical High
$4.47
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.17
Typical High
$8.13
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.17
Typical High
$8.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.47
Typical High
$11.48
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.47
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.78
Typical High
$2.19