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Application Of A Shoulder Spica Cast

Alaska rates for HCPCS 29055

A large cast is applied that wraps around the chest and continues down the arm, holding the shoulder in a set position. Keeping the shoulder and upper arm completely still lets a fracture or a repair heal in the right alignment. Padding is put on first and the cast is then moulded to the body.

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $158$9550%10%10th90th$324Professionalmedian $479 · 10th–90th $126$1,0470%10%10th90th$479$100.0$200.0$500.0$1.0K$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
$407.38
Median
$426.58
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$323.59
Typical High
$676.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$954.99
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$630.96
Typical High
$1,174.90
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,258.93
Providence
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$295.12
Typical High
$954.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$281.84
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$575.44
Typical High
$1,096.48