go back

Connecticut rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.19 / $123.19 / $123.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $121.17 / $124.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.43 / $253.46 / $289.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.85 / $135.85 / $148.04
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 / $122.64
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.75 / $164.75 / $164.75
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.75 / $164.75 / $233.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.71 / $142.71 / $142.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.01 / $126.45 / $210.75