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Short Leg Splint Supplies, Pediatric, Fiberglass

Wisconsin rates for HCPCS Q4048

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

Rates data updated July 2026.

Facilitymedian $12 · 10th–90th $12$220%20%40%10th90th$12Professionalmedian $11 · 10th–90th $6$500%20%10th90th$11$5.0$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
$6.76
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.41
Typical High
$51.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$19.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$38.02
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$16.98
Typical High
$22.39
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$9.77
Typical High
$16.98
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$47.86
Typical High
$60.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$11.75
Typical High
$33.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.75
Typical High
$138.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$15.49
Typical High
$29.51
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$9.77
Typical High
$16.98
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.75
Typical High
$11.75
Quartz
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$17.78
Typical High
$32.36
Quartz
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$89.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$52.48
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$19.05
Typical High
$79.43