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Hip Spica Cast Supplies, Pediatric, Fiberglass

Tennessee rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $44$3550%50%10th$355Professionalmedian $46 · 10th–90th $31$650%10%20%10th90th$46$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
$38.02
Median
$43.65
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$46.77
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$33.11
Typical High
$40.74