go back

Hip Spica Cast Supplies, Pediatric, Fiberglass

New York rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $69 · 10th–90th $46$1120%20%10th90th$69Professionalmedian $46 · 10th–90th $26$1120%10%20%10th90th$46$1.0$10.0$100.0$1.0K$10.0K

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
$45.71
Median
$69.18
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$51.29
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.84
Typical High
$95.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$61.66
Typical High
$61.66
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$123.03
Typical High
$288.40
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$112.20
Typical High
$147.91
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$66.07
Typical High
$66.07
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$72.44
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$69.18
Typical High
$134.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$63.10
Typical High
$63.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$63.10
Typical High
$66.07