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Long Leg Splint Supplies, Adult, Fiberglass

Utah 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?

$27.54

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $27.54 for this service. Most negotiated rates run $21.88 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20 · 10th to 90th $20 to $20Professionalmedian $28 · 10th to 90th $20 to $98
$20$50$100facility $20professional $28

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
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$27.54
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$74.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.20
Typical High
$37.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$43.65
Typical High
$44.67
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$43.65
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$18.20
Typical High
$30.90

Where Utah 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.

Utah· 31st of 51

$27.54

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.