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Application of a Hip Spica Cast (One Leg)

Pennsylvania rates for HCPCS 29305

Placement of a rigid cast that extends from the chest or waist down through one leg, used to hold the hip and thigh completely still while a fracture, dislocation, or surgical repair heals. It is most often used in young children after a thighbone fracture, when the hip needs to stay in a fixed position for weeks. The cast is molded by hand while the plaster or fiberglass material sets.

Facilitymedian $2,692 · 10th–90th $537$8,3180%5%10%10th90th$2,692Professionalmedian $224 · 10th–90th $145$4170%20%10th90th$224$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$616.60
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$223.87
Typical High
$389.05
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$263.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$239.88
Typical High
$436.52
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$588.84
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$467.74
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$5,623.41
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,905.46
Typical High
$6,606.93
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$588.84
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$426.58
Typical High
$602.56
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$575.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$707.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$407.38