Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS Q4043 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cast supplies, long leg splint, pediatric (0-10 years), plaster
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Cast and Splint Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q4043 |
National average reimbursement for HCPCS Q4043 by major payers:
$10.54
$6.68
$9.25
$9.90
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS Q4043.
HCPCS Q4043
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$23.22Published rateChu Chen
$12.19Published rateJennifer Walker
Attigo Infusion Inc
$6.17Published rateDonalsonville Hospital Inc
$5.57Published rateAlicia Encinas
Miguel A Arenas Md PC
$3.52Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS Q4043 vs. Other Cast and Splint Supplies Codes
The HCPCS Q4043 code is part of the Temporary Codes services used for Cast and Splint Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q4043 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q4042-HCPCS | Low | Cast supplies, long leg splint, adult (11 years +), fiberglass |
| Q4043-HCPCS | Low | Cast supplies, long leg splint, pediatric (0-10 years), plaster |
| Q4044-HCPCS | Low | Cast supplies, long leg splint, pediatric (0-10 years), fiberglass |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4043. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4043 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS Q4043) and we'll show you how you compare in 15 minutes or less.