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Hip Spica Cast Supplies, Pediatric, Fiberglass

Wisconsin rates for HCPCS Q4028

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

Rates data updated July 2026.

Facilitymedian $76 · 10th–90th $74$1380%20%40%10th90th$76Professionalmedian $69 · 10th–90th $35$1260%10%20%10th90th$69$20.0$100.0$500.0$2.0K

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
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$107.15
Typical High
$141.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$107.15
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$74.13
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$42.66
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$186.21
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$61.66
Typical High
$107.15
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$74.13
Typical High
$74.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$112.20
Typical High
$204.17
Quartz
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$354.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$331.13
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$37.15
Typical High
$60.26