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Application Of A Shoulder Spica Cast

Utah 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 $288 · 10th–90th $191$7940%20%10th90th$288Professionalmedian $234 · 10th–90th $129$7590%10%10th90th$234$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
$190.55
Median
$190.55
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$275.42
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$269.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$794.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$478.63
Select Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$398.11
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$323.59
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$194.98
Typical High
$316.23