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Hip Spica Cast Supplies, Pediatric, Fiberglass

Michigan rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $132 · 10th–90th $56$3390%20%10th90th$132Professionalmedian $51 · 10th–90th $35$740%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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$64.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$199.53
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$74.13
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$43.65
Typical High
$87.10
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$56.23
Typical High
$144.54
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$91.20
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$50.12