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Hip Spica Cast Supplies, Pediatric, Fiberglass

Indiana rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $63 · 10th–90th $30$630%20%40%10th$63Professionalmedian $45 · 10th–90th $30$630%10%10th90th$45$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
Facility
Modifier
Global
Typical Low
$40.74
Median
$63.10
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$46.77
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$60.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$36.31
Typical High
$53.70