Cervical flexible collar, foam, prefabricated

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM COLLAR)

Payers reporting HCPCS L0120

Payer pricing summary

Low

Average

$69

Median

$44

High

$373

Payer rate distribution

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Filter by billing class

#
1	Wellmark case rate · outpatient · +14 other terms	13	$41	$33	$14	43%	10–100	$14 – $69
2	UnitedHealthcare fee schedule · outpatient · +29 other terms	455	$32	$52	$80	154%	5–50	$1 – $1.2k
3	Molina fee schedule · outpatient · +17 other terms	160	$43	$42	$15	36%	5–50	$7 – $188
4	Aetna fee schedule · outpatient · +25 other terms	406	$33	$66	$82	124%	—	$0 – $878
5	Humana fee schedule · outpatient · +21 other terms	341	$34	$57	$87	153%	—	$3 – $811
6	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	275	$35	$61	$70	116%	—	$0 – $584
7	WellCare fee schedule · outpatient · +13 other terms	214	$31	$37	$52	139%	—	$6 – $1.2k
8	Devoted fee schedule · outpatient · +10 other terms	160	$31	$32	$2	7%	—	$29 – $41
9	Cigna fee schedule · outpatient · +21 other terms	152	$37	$76	$99	130%	—	$2 – $851
10	Anthem fee schedule · outpatient · +22 other terms	116	$31	$36	$66	185%	—	$2 – $1.2k
11	Cigna Healthspring fee schedule · outpatient · +6 other terms	116	$33	$33	$3	9%	—	$31 – $42
12	Kaiser fee schedule · outpatient · +17 other terms	100	$33	$83	$64	77%	—	$5 – $298
13	MultiPlan fee schedule · outpatient · +16 other terms	70	$87	$141	$201	142%	—	$4 – $1.2k
14	Ambetter facility · fee schedule · outpatient · +17 other terms	59	$58	$55	$18	33%	—	$0 – $86
15	Tricare facility · fee schedule · outpatient · +14 other terms	48	$32	$30	$7	23%	—	$9 – $41
16	Caresource fee schedule · outpatient · +13 other terms	47	$35	$34	$12	35%	—	$11 – $116
17	Superior Healthplan fee schedule · outpatient · +3 other terms	41	$32	$32	$1	4%	—	$16 – $32
18	Clover fee schedule · outpatient · +4 other terms	37	$32	$33	$3	10%	—	$30 – $41
19	Oscar fee schedule · outpatient · +12 other terms	36	$36	$39	$12	31%	—	$30 – $69
20	Medica facility · fee schedule · outpatient · +15 other terms	32	$31	$32	$9	29%	—	$3 – $68
21	Optum fee schedule · outpatient · +14 other terms	32	$32	$40	$18	46%	—	$12 – $102
22	Highmark facility · fee schedule · outpatient · +14 other terms	28	$59	$86	$55	64%	—	$15 – $264
23	First Health fee schedule · outpatient · +16 other terms	27	$56	$110	$146	132%	—	$16 – $798
24	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$304	$154	$197	128%	—	$11 – $563
25	Medicare facility · fee schedule · outpatient · +10 other terms	23	$27	$32	$9	28%	—	$5 – $40

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