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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.

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

$37.15

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $37.15 for this service. Most negotiated rates run $31.62 to $43.65.

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.

How much rates vary

Facilitymedian $32 · 10th to 90th $31 to $38Professionalmedian $37 · 10th to 90th $25 to $44
$20$50$100facility $32professional $37

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where New Hampshire sits

The same service costs 1.9 times more in Wisconsin than in West Virginia. 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.

New Hampshire· 11th of 51

$37.15

WI $43.65WV $23.44

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.