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Washington, DC rates for HCPCS L0861

Addition To Halo Procedure Replacement Liner/Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.74 / $103.74 / $103.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.74 / $103.74 / $103.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.50 / $141.50 / $173.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $122.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.75 / $164.75 / $503.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.30 / $114.17 / $189.99