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Short Leg Splint Supplies, Pediatric, Plaster

Washington rates for HCPCS Q4047

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

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $6$160%20%10th90th$10Professionalmedian $6 · 10th–90th $3$160%10%10th90th$6$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
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$9.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.68
Typical High
$18.20
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$8.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$17.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$10.96
Typical High
$17.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$32.36
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.24
Typical High
$7.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$12.59
Typical High
$18.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$7.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$6.31
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$5.50
Typical High
$5.89
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.09
Typical High
$5.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$10.96