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Short Arm Splint Supplies, Pediatric, Plaster

Washington rates for HCPCS Q4023

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

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $4$130%10%20%10th90th$6Professionalmedian $3 · 10th–90th $2$70%10%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
Facility
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$5.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.95
Typical High
$5.75
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$7.24
Typical High
$17.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.24
Typical High
$16.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$32.36
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.27
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$7.41
Typical High
$10.72
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$4.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.63
Typical High
$4.79
United
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$3.24
Typical High
$3.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.78
Typical High
$3.47
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$6.46