Long leg cast supplies, fiberglass, adult

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CAST SUP LONG LEG FIBERGLASS

Payers reporting HCPCS Q4030

Payer pricing summary

Low

$47

Average

$116

Median

$103

High

$238

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +22 other terms	315	$97	$145	$153	106%	—	$29 – $746
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	315	$97	$90	$21	24%	—	$1 – $166
3	Aetna fee schedule · outpatient · +20 other terms	287	$98	$112	$65	58%	—	$6 – $581
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	191	$99	$116	$55	47%	—	$0 – $343
5	WellCare fee schedule · outpatient · +12 other terms	191	$100	$103	$17	16%	—	$50 – $189
6	Devoted fee schedule · outpatient · +5 other terms	163	$97	$97	$2	2%	—	$93 – $103
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	121	$100	$99	$3	3%	—	$95 – $105
8	Molina fee schedule · outpatient · +16 other terms	105	$125	$130	$52	40%	—	$46 – $254
9	Cigna fee schedule · outpatient · +19 other terms	86	$99	$102	$40	39%	—	$23 – $284
10	Anthem fee schedule · outpatient · +14 other terms	75	$95	$95	$12	12%	—	$45 – $158
11	Superior Healthplan fee schedule · outpatient	40	$102	$102	$0	0%	—	$95 – $102
12	Kaiser fee schedule · outpatient · +11 other terms	39	$95	$96	$2	2%	—	$93 – $99
13	Clover fee schedule · outpatient · +4 other terms	37	$97	$98	$3	3%	—	$95 – $102
14	Bcbs Tx fee schedule · outpatient	31	$89	$91	$27	29%	—	$67 – $332
15	Optum fee schedule · outpatient · +12 other terms	30	$96	$110	$43	40%	—	$93 – $242
16	Oscar fee schedule · outpatient · +12 other terms	24	$95	$98	$3	3%	—	$95 – $102
17	Caresource facility · case rate · outpatient · +9 other terms	20	$37	$70	$58	83%	—	$23 – $194
18	Amerihealth Caritas fee schedule · outpatient · +6 other terms	18	$116	$104	$25	24%	—	$46 – $116
19	Medicare fee schedule · outpatient · +5 other terms	18	$93	$93	$1	1%	—	$93 – $95
20	Ambetter facility · fee schedule · outpatient · +11 other terms	17	$141	$157	$17	11%	—	$141 – $174
21	Medica professional · fee schedule · outpatient · +15 other terms	15	$101	$98	$7	7%	—	$70 – $102
22	Medcost professional · percent of total billed charges · outpatientfrom % of charges	14	$164	$141	$32	22%	—	$97 – $164
23	Highmark facility · fee schedule · outpatient · +10 other terms	13	$178	$204	$143	70%	—	$90 – $650
24	Wellmark fee schedule · both · +6 other terms	13	$86	$86	$1	1%	—	$86 – $93
25	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$46	$66	$24	37%	—	$46 – $95

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