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Cervical Collar, Two-Piece Foam with Thoracic Extension

Washington rates for HCPCS L0174

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

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $219$7240%20%10th90th$324Professionalmedian $269 · 10th–90th $186$5750%10%10th90th$269$5.0$20.0$100.0$500.0$2.0K

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
$100.00
Median
$302.00
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$575.44
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$316.23
Typical High
$323.59
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$218.78
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$457.09
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$724.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$251.19
Typical High
$275.42
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$323.59
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$363.08
Typical High
$363.08
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$645.65
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$316.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$416.87
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$302.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$281.84
Typical High
$501.19