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Alaska rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $151.36 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $177.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $218.78 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $831.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $245.47 / $257.04
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $245.47 / $251.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $257.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $169.82 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $190.55 / $630.96