Short leg cast supplies, fiberglass, for children

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

HB-Cast Supplies: Peds Short Leg [Q4040]

Payers reporting HCPCS Q4040

Payer pricing summary

Low

$13

Average

$43

Median

$33

High

$139

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	317	$26	$24	$6	23%	—	$1 – $47
2	Humana fee schedule · outpatient · +23 other terms	314	$26	$40	$41	105%	—	$12 – $202
3	Aetna fee schedule · outpatient · +22 other terms	287	$26	$33	$18	56%	—	$19 – $157
4	WellCare fee schedule · outpatient · +12 other terms	193	$27	$28	$5	16%	—	$15 – $51
5	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	188	$27	$32	$15	46%	—	$0 – $93
6	Devoted fee schedule · outpatient · +7 other terms	163	$26	$26	$0	2%	—	$25 – $28
7	Cigna Healthspring fee schedule · outpatient · +3 other terms	121	$27	$27	$1	3%	—	$26 – $28
8	Molina fee schedule · outpatient · +16 other terms	106	$37	$36	$15	41%	—	$12 – $82
9	Cigna fee schedule · outpatient · +20 other terms	85	$27	$29	$9	32%	—	$13 – $77
10	Anthem fee schedule · outpatient · +17 other terms	76	$26	$26	$3	13%	—	$14 – $45
11	Superior Healthplan fee schedule · outpatient	40	$28	$28	$0	0%	—	$26 – $28
12	Kaiser fee schedule · outpatient · +13 other terms	39	$26	$26	$1	2%	—	$25 – $27
13	Clover fee schedule · outpatient · +5 other terms	37	$26	$27	$1	3%	—	$26 – $28
14	Bcbs Tx fee schedule · outpatient	31	$24	$25	$7	29%	—	$18 – $90
15	Optum fee schedule · outpatient · +15 other terms	30	$26	$30	$12	40%	—	$25 – $66
16	Oscar fee schedule · outpatient · +13 other terms	24	$26	$26	$1	3%	—	$26 – $28
17	Caresource facility · case rate · outpatient · +8 other terms	20	$35	$38	$10	25%	—	$23 – $57
18	Amerihealth Caritas fee schedule · outpatient · +8 other terms	18	$31	$30	$7	23%	—	$13 – $46
19	Medicare fee schedule · outpatient · +6 other terms	18	$25	$25	$0	1%	—	$25 – $26
20	Ambetter facility · fee schedule · outpatient · +10 other terms	17	$38	$42	$5	11%	—	$38 – $47
21	Medica professional · fee schedule · outpatient · +15 other terms	16	$27	$27	$1	5%	—	$25 – $31
22	Highmark fee schedule · outpatient · +10 other terms	15	$27	$28	$11	38%	—	$12 – $74
23	Medcost professional · percent of total billed charges · outpatientfrom % of charges	15	$46	$52	$8	16%	—	$46 – $63
24	Ucare professional · fee schedule · outpatient · +11 other terms	13	$27	$27	$2	6%	—	$20 – $29
25	Wellmark fee schedule · both · +10 other terms	13	$23	$23	$0	1%	—	$23 – $25

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