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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.

Facilitymedian $20 · 10th–90th $20$200%50%$20Professionalmedian $28 · 10th–90th $20$980%10%20%10th90th$28$20.0$50.0$100.0

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
$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