go back

Hip Spica Cast Supplies, Pediatric, Fiberglass

Idaho rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $74 · 10th–90th $49$1230%20%10th90th$74Professionalmedian $51 · 10th–90th $31$1000%20%10th90th$51$5.0$10.0$20.0$50.0$100.0$200.0

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
Professional
Modifier
Global
Typical Low
$30.90
Median
$51.29
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$69.18
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$75.86
Typical High
$128.82
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$74.13
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$63.10
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$83.18
Select Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$75.86
Typical High
$104.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$40.74