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Application Of A Shoulder Spica Cast

Washington 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 $316 · 10th–90th $170$6460%10%10th90th$316Professionalmedian $282 · 10th–90th $148$5500%10%10th90th$282$10.0$50.0$200.0$1.0K$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
$169.82
Median
$354.81
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$275.42
Typical High
$588.84
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,479.11
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$616.60
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$288.40
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$457.09
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$295.12
Typical High
$316.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$562.34
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$891.25
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$537.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$371.54