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Application Of A Shoulder Spica Cast

Wisconsin 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 $2,754 · 10th–90th $219$4,8980%10%10th90th$2,754Professionalmedian $316 · 10th–90th $138$9120%5%10%10th90th$316$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
$131.83
Median
$218.78
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$776.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$524.81
Typical High
$954.99
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$275.42
Typical High
$3,162.28
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$281.84
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$446.68
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$177.83
Network Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$891.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$501.19
Typical High
$724.44
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$467.74
Quartz
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$851.14
Quartz
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$602.56
Typical High
$1,288.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$977.24
Typical High
$1,698.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$707.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$870.96
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$288.40
Typical High
$776.25