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Hip Spica Cast Supplies, Pediatric, Fiberglass

California rates for HCPCS Q4028

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass

Rates data updated July 2026.

Facilitymedian $34 · 10th–90th $26$1020%10%20%10th90th$34Professionalmedian $51 · 10th–90th $31$2190%10%10th90th$51$20.0$50.0$100.0$200.0$500.0

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
$30.90
Median
$30.90
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$33.88
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$47.86
Typical High
$83.18
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$134.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$676.08
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$75.86
Typical High
$141.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$72.44
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$33.11
Typical High
$75.86