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Application Of A Shoulder Spica Cast

Minnesota 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 $759 · 10th–90th $219$1,8620%10%10th90th$759Professionalmedian $427 · 10th–90th $214$8510%5%10%10th90th$427$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
$134.90
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$776.25
Typical High
$1,949.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$1,000.00
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,819.70
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$281.84
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$436.52
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,778.28
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$338.84
Typical High
$741.31