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Long Leg Splint Supplies, Adult, Fiberglass

North Dakota rates for HCPCS Q4042

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

Rates data updated July 2026.

Facilitymedian $31 · 10th–90th $27$710%20%40%10th90th$31Professionalmedian $39 · 10th–90th $20$520%10%20%10th90th$39$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
$26.92
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$46.77
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$63.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$17.78
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$18.20
Typical High
$48.98