I do not recall. I believe I payed full price for it. There is another kind that is. Cervical neck traction device by DaviSmart. Works great and better then the one you’re asking about. I bought 3 of them and they didn’t cost me anything

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Neck Traction Device by Air Collar - Neck Stretcher - Cervical Traction Device - Neck & Shoulder Pain Relief - Stretcher Collar for Improved Spine Alignment - 2nd Generation (1st Gen - Manual)

Q: My neck is 12 inches. Will this fit me?

Not sure if it will go that small. I have a 17 neck and it fit me ok.

Q: Is this a HSA approve device?

I do not know. However, I am suffering from cervical herniated discs, and this did the trick. I use it in conjointion with ice patches and it works great helping to reduce nerves inflammation in the vertebrae. Definitely worth the investment.