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Long Leg Splint Supplies, Adult, Fiberglass

Montana rates for HCPCS Q4042

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

Rates data updated October 2026.

How much does Long Leg Splint Supplies, Adult, Fiberglass cost?

$44.67

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $54.95 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$33.88 to $47.86
FacilityA hospital or hospital-owned outpatient department$54.95$44.67 to $2,455

How much rates vary

Facilitymedian $55 · 10th to 90th $44 to $2,512Professionalmedian $45 · 10th to 90th $18 to $79
$20$50$100$200$500$1K$2Kfacility $55professional $45

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$33.88
Typical High
$57.54
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$54.95
Typical High
$2,570.40
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$54.95
Typical High
$2,630.27
Providence
Setting
Facility
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Providence
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$44.67
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$17.38
Median
$18.20
Typical High
$30.20

Where Montana sits

The same service costs 2.8 times more in Hawaii than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 2nd of 51

$44.67

HI $46.77NY $16.98

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.