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Cervical Collar, Two-Piece Thermoplastic Foam

Utah rates for HCPCS L0172

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

Rates data updated July 2026.

Facilitymedian $59 · 10th–90th $46$1480%20%40%10th90th$59Professionalmedian $85 · 10th–90th $46$7760%10%10th90th$85$50.0$100.0$200.0$500.0

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
$45.71
Median
$58.88
Typical High
$69.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$85.11
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$109.65
Typical High
$141.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$147.91
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$173.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$151.36
Typical High
$158.49
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$72.44
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$70.79
Typical High
$109.65