go back

Missouri rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $4,897.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $977.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,096.48 / $7,079.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,096.48 / $1,412.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $691.83 / $1,047.13