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Cervical Collar, Two-Piece Thermoplastic Foam

Washington rates for HCPCS L0172

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

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $105$3310%20%10th90th$155Professionalmedian $126 · 10th–90th $83$2450%10%20%10th90th$126$2.0$10.0$50.0$200.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$104.71
Typical High
$181.97
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$154.88
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$114.82
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$213.80
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$117.49
Typical High
$128.82
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$154.88
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$223.87
Typical High
$309.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$154.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$194.98
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$134.90
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$134.90
Typical High
$234.42