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Cervical Collar, Two-Piece Foam with Thoracic Extension

Wisconsin 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 $339 · 10th–90th $251$6920%50%10th90th$339Professionalmedian $316 · 10th–90th $166$5890%20%10th90th$316$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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$173.78
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$794.33
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$489.78
Typical High
$645.65
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$426.58
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$204.17
Network Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Network Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$676.08
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$426.58
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$416.87
Quartz
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$933.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$691.83
Typical High
$1,659.59
Quartz
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$512.86
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$165.96
Typical High
$407.38