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See a sample rate comparisonHCPCS L0190 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Cervical Orthotics Multi-post Collar |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L0190 |
National average reimbursement for HCPCS L0190 by major payers:
$537.99
$336.25
$362.77
$756.97
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HCPCS L0190
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
$700.97Published rateAugusta Vamc
$426.04Published rateCity Of Hope National Medical Center
$371.89Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$299.57Published rateMichael Guillette
Aztec Urgent Care LLC
$257.41Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L0190 vs. Other Cervical Orthotics Multi-post Collar Codes
The HCPCS L0190 code is part of the Orthotic Procedures and services services used for Cervical Orthotics Multi-post Collar. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L0190 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L0180-HCPCS | Moderate | Cervical, multiple post collar, occipital/mandibular supports, adjustable |
| L0190-HCPCS | Moderate | Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types) |
| L0200-HCPCS | Moderate | Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L0190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L0190 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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