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Cervical Collar, Flexible Foam, Nonadjustable

South Dakota rates for HCPCS L0120

Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)

Rates data updated July 2026.

How much does Cervical Collar, Flexible Foam, Nonadjustable cost?

$25.12

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $25.12 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $30.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$25.12$20.42 to $37.15
FacilityA hospital or hospital-owned outpatient department$30.20$22.91 to $40.74

How much rates vary

Facilitymedian $30 · 10th to 90th $17 to $162Professionalmedian $25 · 10th to 90th $18 to $47
$10$20$50$100$200$500$1Kfacility $30professional $25

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$21.88
Typical High
$34.67
Avera
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$44.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$46.77
Medica
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$30.20
Typical High
$56.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$22.91
Typical High
$245.47
Midlands
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$43.65
Typical High
$43.65
Midlands
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Midlands
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$53.70
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$30.20
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$17.38
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$22.91
Typical High
$37.15
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81

Where South Dakota sits

The same service costs 4.7 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 11th of 51

$25.12

HI $60.26DC $12.88

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.