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Hip Spica Cast Supplies, Pediatric, Fiberglass

New Hampshire rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $49 · 10th–90th $49$590%50%90th$49Professionalmedian $65 · 10th–90th $43$760%20%40%10th90th$65$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
$48.98
Median
$48.98
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$58.88
Typical High
$64.57
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$67.61