Molded cervical collar, custom-fitted to patient

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 COLLAR MOLDED TO PT

Payers reporting HCPCS L0170

Payer pricing summary

Low

$89

Average

$939

Median

$861

High

$1.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	378	$858	$874	$398	46%	—	$60 – $4.1k
2	Aetna fee schedule · outpatient · +17 other terms	365	$875	$987	$562	57%	—	$60 – $5.8k
3	Humana fee schedule · outpatient · +18 other terms	321	$858	$1.2k	$1.3k	105%	—	$60 – $6.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	222	$884	$1.1k	$659	58%	—	$0 – $3.8k
5	WellCare fee schedule · outpatient · +10 other terms	210	$833	$857	$122	14%	—	$727 – $1.4k
6	Devoted fee schedule · outpatient · +4 other terms	165	$786	$804	$49	6%	—	$712 – $1.0k
7	Molina fee schedule · outpatient · +10 other terms	140	$1.2k	$1.1k	$426	38%	—	$361 – $2.1k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$802	$817	$64	8%	—	$741 – $1.0k
9	Cigna fee schedule · outpatient · +15 other terms	112	$893	$1.1k	$658	61%	—	$151 – $3.8k
10	Anthem fee schedule · outpatient · +11 other terms	84	$741	$1.2k	$1.3k	113%	—	$60 – $7.4k
11	Kaiser fee schedule · outpatient · +12 other terms	66	$756	$1.4k	$1.1k	78%	—	$60 – $6.4k
12	Ambetter facility · fee schedule · outpatient · +10 other terms	45	$1.5k	$1.6k	$397	25%	—	$850 – $2.2k
13	Caresource fee schedule · outpatient · +8 other terms	41	$969	$960	$184	19%	—	$474 – $1.5k
14	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$825	$825	$4	0%	—	$771 – $825
15	Clover fee schedule · outpatient · +2 other terms	37	$825	$810	$81	10%	—	$727 – $988
16	Oscar fee schedule · outpatient · +8 other terms	36	$910	$987	$284	29%	—	$770 – $1.7k
17	Optum fee schedule · outpatient · +7 other terms	33	$867	$1.0k	$416	40%	—	$712 – $2.0k
18	Medica facility · fee schedule · outpatient · +6 other terms	22	$1.0k	$900	$226	25%	—	$329 – $1.3k
19	Medicare fee schedule · outpatient · +5 other terms	19	$712	$715	$7	1%	—	$712 – $733
20	Regence facility · fee schedule · outpatient · +3 other terms	19	$771	$780	$27	3%	—	$728 – $836
21	Amerihealth Caritas fee schedule · outpatient · +4 other terms	18	$1.0k	$1000	$88	9%	—	$756 – $1.0k
22	Bcbs Tx fee schedule · outpatient	18	$771	$771	—	—	—	$771 – $771
23	Tricare facility · fee schedule · outpatient · +2 other terms	18	$741	$835	$103	12%	—	$667 – $939
24	Medical Mutual facility · fee schedule · outpatient · +3 other terms	15	$988	$1.1k	$283	25%	—	$538 – $1.6k
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$899	$898	$210	23%	—	$437 – $1.1k

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