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Long Leg Splint Supplies, Adult, Plaster

Wisconsin rates for HCPCS Q4041

Cast supplies, long leg splint, adult (11 years +), plaster

Rates data updated July 2026.

Facilitymedian $26 · 10th–90th $25$470%20%40%10th90th$26Professionalmedian $23 · 10th–90th $12$430%10%20%10th90th$23$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
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$21.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$41.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$26.92
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$81.28
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$36.31
Typical High
$47.86
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$20.89
Typical High
$36.31
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$95.50
Typical High
$120.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$25.12
Typical High
$56.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$33.11
Typical High
$63.10
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$20.89
Typical High
$36.31
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$25.12
Typical High
$25.12
Quartz
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$38.02
Typical High
$69.18
Quartz
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$120.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$112.20
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.59
Typical High
$20.42