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Hip Spica Cast Supplies, Pediatric, Fiberglass

Utah rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $31 · 10th–90th $31$310%50%$31Professionalmedian $49 · 10th–90th $31$1000%10%10th90th$49$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
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$47.86
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$67.61
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$64.57
Select Health
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$77.62
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$50.12