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Hip Spica Cast Supplies, Pediatric, Fiberglass

Washington rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $102 · 10th–90th $62$1700%10%20%10th90th$102Professionalmedian $55 · 10th–90th $32$1550%10%10th90th$55$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
$41.69
Median
$41.69
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$154.88
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$74.13
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$186.21
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$70.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$56.23
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$31.62
Typical High
$60.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$112.20