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Cervical Collar, Two-Piece Thermoplastic Foam

South Dakota rates for HCPCS L0172

Cervical, collar, semi-rigid thermoplastic foam, two piece, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $138 · 10th–90th $107$2000%20%10th90th$138Professionalmedian $126 · 10th–90th $85$2450%10%10th90th$126$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$102.33
Typical High
$134.90
Avera
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$158.49
Typical High
$158.49
Midlands
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$269.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$109.65
Typical High
$199.53
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54