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Application Of A Shoulder Spica Cast

New Hampshire 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 $1,288 · 10th–90th $479$2,6300%20%10th90th$1,288Professionalmedian $269 · 10th–90th $145$5370%5%10%10th90th$269$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
$478.63
Median
$478.63
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$263.03
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$323.59
Typical High
$588.84
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$309.03
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$588.84
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$275.42