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Application Of A Shoulder Spica Cast

South Dakota 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 $309 · 10th–90th $178$5010%10%10th90th$309Professionalmedian $275 · 10th–90th $135$5500%10%10th90th$275$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
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$691.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$501.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$467.74
Typical High
$1,698.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$501.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$281.84
Typical High
$575.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$660.69