go back

Montana rates for HCPCS Q4042

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

Facilitymedian $42 · 10th–90th $34–$1260%20%40%10th90th$42Professionalmedian $30 · 10th–90th $19–$580%10%20%10th90th$30$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $44.67 / $44.67
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $41.69 / $81.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $41.69 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $44.67 / $81.28
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $44.67 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $18.20 / $22.39