Cervical flexible collar, foam, prefabricated at Dignity Health

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

ORTHO L0120 23X-30

Henderson, NV

See all payers reporting HCPCS L0120 →

Payers reporting HCPCS L0120 at Dignity Health

Negotiated rates from the hospital’s own file: 5 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare commercial\|dh employees fee schedule · inpatient	$50	$50	$31	62%	—	$19 – $80
2	UnitedHealthcare commercial\|dh employees fee schedule · outpatient	$50	$50	$31	62%	—	$19 – $80
3	Aetna commercial\|hmo fee schedule · inpatient	$54	$54	$34	62%	—	$20 – $88
4	Aetna commercial\|all other plans fee schedule · inpatient	$56	$56	$35	62%	—	$21 – $91
5	Aetna commercial\|ppo fee schedule · inpatient	$56	$56	$35	62%	—	$21 – $91
6	Anthem commercial\|hmo fee schedule · inpatient	$58	$58	$36	62%	—	$22 – $94
7	Anthem commercial\|ppo fee schedule · inpatient	$74	$74	$46	62%	—	$28 – $121
8	Cigna commercial\|all other plans fee schedule · inpatient	$102	$102	$64	62%	—	$38 – $166
9	Cigna commercial\|all other plans fee schedule · outpatient	$102	$102	$64	62%	—	$38 – $166
10	Cigna commercial\|ppo fee schedule · inpatient	$102	$102	$64	62%	—	$38 – $166
11	Cigna commercial\|ppo fee schedule · outpatient	$102	$102	$64	62%	—	$38 – $166
12	MultiPlan commercial\|all plans fee schedule · inpatient	$114	$114	$71	62%	—	$43 – $185
13	MultiPlan commercial\|all plans fee schedule · outpatient	$114	$114	$71	62%	—	$43 – $185
14	UnitedHealthcare commercial\|options fee schedule · inpatient	$119	$119	$74	62%	—	$45 – $193
15	UnitedHealthcare commercial\|options fee schedule · outpatient	$119	$119	$74	62%	—	$45 – $193