go back

Hip Spica Cast Supplies, Pediatric, Fiberglass

South Dakota rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $81 · 10th–90th $52$1410%10%20%10th90th$81Professionalmedian $68 · 10th–90th $47$1070%10%10th90th$68$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
$53.70
Median
$53.70
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$50.12
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$107.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$138.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$645.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$131.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$87.10
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26