Prefabricated two-piece cervical-thoracic spinal brace

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, SEMI-RIGID, THERMOPLASTIC FOAM, TWO PIECE WITH THORACIC EXTENSION, PREFABRICATED, OFF-THE-SHELF

Payers reporting HCPCS L0174

Payer pricing summary

Low

$34

Average

$316

Median

$261

High

$2.6k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	438	$320	$356	$299	84%	—	$1 – $2.8k
2	Aetna fee schedule · outpatient · +20 other terms	402	$324	$418	$312	75%	—	$1 – $2.7k
3	Humana fee schedule · outpatient · +21 other terms	343	$328	$462	$487	105%	—	$1 – $2.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	264	$322	$487	$362	74%	—	$17 – $3.7k
5	WellCare fee schedule · outpatient · +11 other terms	218	$325	$338	$59	17%	—	$76 – $616
6	Devoted fee schedule · outpatient · +10 other terms	161	$316	$324	$18	5%	—	$316 – $429
7	Molina fee schedule · outpatient · +16 other terms	157	$407	$377	$183	49%	—	$1 – $827
8	Cigna fee schedule · outpatient · +21 other terms	147	$351	$483	$442	91%	—	$4 – $2.4k
9	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$328	$326	$19	6%	—	$316 – $433
10	Anthem fee schedule · outpatient · +19 other terms	112	$362	$428	$435	102%	—	$15 – $2.6k
11	Kaiser fee schedule · outpatient · +16 other terms	102	$377	$495	$452	91%	—	$15 – $2.4k
12	Ambetter facility · fee schedule · outpatient · +12 other terms	61	$598	$552	$186	34%	—	$97 – $888
13	MultiPlan fee schedule · outpatient · +15 other terms	52	$387	$630	$623	99%	—	$10 – $2.7k
14	Caresource fee schedule · outpatient · +14 other terms	50	$320	$322	$79	25%	—	$1 – $529
15	Clover fee schedule · outpatient · +4 other terms	41	$326	$323	$18	6%	—	$309 – $421
16	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$331	$331	$2	0%	—	$309 – $331
17	Tricare facility · fee schedule · outpatient · +13 other terms	39	$316	$276	$70	25%	—	$85 – $421
18	Optum fee schedule · outpatient · +9 other terms	36	$355	$457	$252	55%	—	$46 – $1.4k
19	Oscar fee schedule · outpatient · +10 other terms	35	$331	$384	$128	33%	—	$309 – $716
20	Medica facility · fee schedule · outpatient · +14 other terms	30	$322	$282	$89	32%	—	$56 – $464
21	Medicare fee schedule · outpatient · +9 other terms	28	$355	$367	$36	10%	—	$295 – $421
22	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$142	$141	$41	29%	—	$51 – $243
23	First Health fee schedule · outpatient · +14 other terms	25	$466	$534	$528	99%	—	$29 – $2.1k
24	Regence fee schedule · outpatient · +10 other terms	20	$318	$320	$90	28%	—	$47 – $1.1k
25	Amerihealth Caritas fee schedule · outpatient · +8 other terms	18	$379	$369	$18	5%	—	$322 – $379

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