go back

Application Of A Shoulder Spica Cast

Tennessee 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 $955 · 10th–90th $186$1,9050%5%10th90th$955Professionalmedian $209 · 10th–90th $126$3800%10%10th90th$209$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
$154.88
Median
$245.47
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$398.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$1,288.25
Typical High
$1,288.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$380.19