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Arizona rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.38 / $129.22 / $228.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.54 / $240.39 / $434.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.36 / $221.81 / $302.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $301.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.72 / $169.36 / $1,209.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.50 / $115.74 / $174.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $115.74 / $174.34