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Short Leg Cast Supplies, Pediatric, Fiberglass

Wisconsin rates for HCPCS Q4040

Cast supplies, short leg cast, pediatric (0-10 years), fiberglass

Rates data updated July 2026.

Facilitymedian $26 · 10th–90th $26$480%20%40%10th90th$26Professionalmedian $25 · 10th–90th $14$680%10%10th90th$25$10.0$50.0$200.0$1.0K$5.0K

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
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$19.05
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$37.15
Typical High
$50.12
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$22.39
Typical High
$37.15
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$114.82
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$25.70
Typical High
$74.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$33.88
Typical High
$64.57
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$22.39
Typical High
$37.15
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$30.20
Quartz
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$38.90
Typical High
$72.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$158.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$114.82
Typical High
$380.19
Security Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$47.86
Typical High
$97.72