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Application Of A Shoulder Spica Cast

West Virginia 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.

How much does Application Of A Shoulder Spica Cast cost?

$399

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $399 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $204 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$195$145 to $240
Facility feeThe hospital or surgery center$204$132 to $204

How much rates vary

Facilitymedian $204 · 10th to 90th $132 to $229Professionalmedian $195 · 10th to 90th $123 to $245
$50.0$100.0$200.0$500.0$1.0Kfacility $204professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$177.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$251.19
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$489.78
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$309.03

Where West Virginia sits

The same service costs 16.6 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeWest Virginia $399 · 46th of 49
IN $4,072MD $245

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.