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Cervical Collar, Two-Piece Thermoplastic Foam

Wisconsin rates for HCPCS L0172

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

Rates data updated July 2026.

Facilitymedian $174 · 10th–90th $91$3160%50%10th90th$174Professionalmedian $162 · 10th–90th $85$2690%20%10th90th$162$0.1$0.5$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
$74.13
Median
$91.20
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$288.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$398.11
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$251.19
Typical High
$331.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$213.80
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$269.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$169.82
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$186.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$70.79
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Network Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$338.84
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$213.80
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$169.82
Typical High
$177.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$426.58
Quartz
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$354.81
Typical High
$758.58
Quartz
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$257.04
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$85.11
Typical High
$190.55