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Long Leg Splint Supplies, Adult, Fiberglass

New Hampshire rates for HCPCS Q4042

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

Rates data updated July 2026.

Facilitymedian $32 · 10th–90th $31$380%50%10th90th$32Professionalmedian $37 · 10th–90th $25$440%20%40%10th90th$37$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
$31.62
Median
$31.62
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$31.62
Typical High
$52.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$34.67
Typical High
$37.15
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$31.62
Typical High
$38.90