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Short Leg Splint Supplies, Pediatric, Fiberglass

Montana rates for HCPCS Q4048

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

Rates data updated October 2026.

How much does Short Leg Splint Supplies, Pediatric, Fiberglass cost?

$12.30

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $12.30 for this service. The price depends on where it is billed: about $12.30 from a physician practice, and about $14.79 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$12.30$9.12 to $13.18
FacilityA hospital or hospital-owned outpatient department$14.79$12.30 to $676

How much rates vary

Facilitymedian $15 · 10th to 90th $12 to $692Professionalmedian $12 · 10th to 90th $5 to $79
$5$10$20$50$100$200$500facility $15professional $12

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$6.46
Median
$7.08
Typical High
$15.14
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$12.02
Median
$17.78
Typical High
$691.83
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$12.02
Median
$14.79
Typical High
$724.44
Providence
Setting
Facility
Modifier
None
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Providence
Setting
Professional
Modifier
None
Typical Low
$9.12
Median
$12.30
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$4.68
Median
$4.90
Typical High
$8.32

Where Montana sits

The same service costs 2.9 times more in Rhode Island 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.

Montana· 4th of 51

$12.30

RI $13.49NY $4.68

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.