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Application Of A Shoulder Spica Cast

Montana 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 $229$4170%20%10th90th$282Professionalmedian $240 · 10th–90th $145$4680%10%10th90th$240$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
$131.83
Median
$204.17
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$371.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$416.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$234.42
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$257.04
Typical High
$398.11