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See a sample rate comparisonHCPCS Q4026 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Cast and Splint Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q4026 |
National average reimbursement for HCPCS Q4026 by major payers:
$122.66
$78.75
$107.17
$116.71
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HCPCS Q4026
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$269.57Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$119.12Published rateJames Francesconi
Attigo Infusion Inc
$72.86Published ratePaulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
$65.84Published rateIrene Alford
Attigo Infusion Inc
$52.08Published rate
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See a sample payer proposalHCPCS Q4026 vs. Other Cast and Splint Supplies Codes
The HCPCS Q4026 code is part of the Temporary Codes services used for Cast and Splint Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q4026 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q4025-HCPCS | Low | Cast supplies, hip spica (one or both legs), adult (11 years +), plaster |
| Q4026-HCPCS | Low | Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass |
| Q4027-HCPCS | Low | Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4026. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4026 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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