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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 October 2026.

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

$19.95

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $19.95 for this service. Most negotiated rates run $18.20 to $30.20.

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 $20 · 10th to 90th $18 to $35
$20$50facility $20professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$19.95
Median
$19.95
Typical High
$24.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$10.00
Median
$10.00
Typical High
$11.75
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.98
Median
$3.98
Typical High
$4.68
Aetna
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$14.79
Median
$14.79
Typical High
$17.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.02
Median
$3.02
Typical High
$3.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.00
Median
$2.00
Typical High
$2.34
Cigna
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$17.78
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$38.90
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Facility
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Select Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$43.65
Typical High
$44.67
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$32.36
Typical High
$61.66
United
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$18.20
Typical High
$35.48

Where Utah sits

The same service costs 2.8 times more in Hawaii than in New York. 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· 46th of 51

$19.95

HI $46.77NY $16.98

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.