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Long Leg Splint Supplies, Adult, Fiberglass

Michigan rates for HCPCS Q4042

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

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $32$1950%20%10th90th$76Professionalmedian $31 · 10th–90th $21$430%10%20%10th90th$31$10.0$20.0$50.0$100.0$200.0

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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$28.84
Typical High
$37.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$114.82
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$42.66
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.12
Typical High
$52.48
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$32.36
Typical High
$85.11
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$52.48
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$19.95
Typical High
$32.36