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Hip Spica Cast Supplies, Pediatric, Fiberglass

Montana rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $72 · 10th–90th $59$1290%20%40%10th90th$72Professionalmedian $56 · 10th–90th $32$1550%10%10th90th$56$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
$44.67
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$77.62
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$141.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$75.86
Typical High
$128.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$75.86
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$38.02