go back

Long Leg Splint Supplies, Adult, Fiberglass

Pennsylvania 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?

$26.30

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $31.62 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$26.30$22.91 to $35.48
FacilityA hospital or hospital-owned outpatient department$31.62$20.89 to $126

How much rates vary

Facilitymedian $32 · 10th to 90th $21 to $186Professionalmedian $26 · 10th to 90th $20 to $52
$10.0$100.0$1.0K$10.0Kfacility $32professional $26

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
$20.89
Median
$20.89
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.92
Typical High
$52.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
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
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$63.10
Typical High
$93.33
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$30.20
Typical High
$43.65
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$31.62
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$26.30
Typical High
$42.66
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$125.89
Typical High
$213.80
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$40.74
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$21.38
Typical High
$37.15

Where Pennsylvania sits

The same service costs 1.9 times more in Wisconsin than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $26.30 · 41st of 51
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.