go back

Long Leg Splint Supplies, Adult, Fiberglass

Ohio rates for HCPCS Q4042

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

Rates data updated July 2026.

Facilitymedian $27 · 10th–90th $27$450%50%90th$27Professionalmedian $26 · 10th–90th $17$410%10%20%10th90th$26$0.5$2.0$10.0$50.0$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
$26.92
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$53.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$48.98
Typical High
$54.95
CareSource
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$32.36
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$20.42
Typical High
$29.51