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Application Of A Shoulder Spica Cast

Michigan 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 $282 · 10th–90th $174$1,4130%20%10th90th$282Professionalmedian $214 · 10th–90th $126$3310%10%10th90th$214$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$173.78
Median
$181.97
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$338.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$549.54
Typical High
$645.65
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$245.47
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$741.31
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$302.00