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Hip Spica Cast Supplies, Adult, Fiberglass

South Dakota rates for HCPCS Q4026

Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $105$2820%20%10th90th$162Professionalmedian $138 · 10th–90th $93$2140%10%10th90th$138$50.0$100.0$200.0$500.0$1.0K

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
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$100.00
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$63.10
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$263.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$173.78
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23