go back

Arkansas rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.12 / $145.12 / $145.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.18 / $145.12 / $145.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219,999.78 / $539,999.46 / $949,999.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.39 / $298.31 / $331.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.46 / $253.46 / $261.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.46 / $253.46 / $253.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $208.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $196.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $117.61 / $157.33