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Short Leg Splint Supplies, Pediatric, Plaster

Montana rates for HCPCS Q4047

Cast supplies, short leg splint, pediatric (0-10 years), plaster

Rates data updated July 2026.

Facilitymedian $7 · 10th–90th $6$130%20%40%10th90th$7Professionalmedian $5 · 10th–90th $3$180%10%20%10th90th$5$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.37
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$7.59
Typical High
$7.59
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$7.08
Typical High
$13.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.08
Typical High
$13.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.41
Typical High
$12.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.59
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.09
Typical High
$3.80