go back

Long Leg Splint Supplies, Adult, Fiberglass

Illinois rates for HCPCS Q4042

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

Rates data updated July 2026.

Facilitymedian $52 · 10th–90th $24$3240%20%10th90th$52Professionalmedian $33 · 10th–90th $21$440%10%10th90th$33$20.0$50.0$100.0$200.0$500.0

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
$23.99
Median
$23.99
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.18
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$125.89
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$33.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$57.54
Typical High
$109.65
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$34.67
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$22.91
Typical High
$66.07