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Application Of A Shoulder Spica Cast

Maine 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.

Professionalmedian $214 · 10th–90th $135$4270%10%10th90th$214$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$128.82
Median
$181.97
Typical High
$257.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$467.74
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$512.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$181.97
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$501.19