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Long Leg Splint Supplies, Adult, Fiberglass

Wisconsin rates for HCPCS Q4042

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

Rates data updated July 2026.

Facilitymedian $44 · 10th–90th $43$790%20%40%10th90th$44Professionalmedian $41 · 10th–90th $21$930%20%10th90th$41$20.0$100.0$500.0$2.0K

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
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.70
Typical High
$37.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$72.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$45.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$138.04
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$61.66
Typical High
$83.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$61.66
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$151.36
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$42.66
Typical High
$95.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$21.38
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$56.23
Typical High
$107.15
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$61.66
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$42.66
Typical High
$42.66
Quartz
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$64.57
Typical High
$117.49
Quartz
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$204.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$190.55
Typical High
$436.52
Security Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$69.18
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$64.57
Typical High
$112.20