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Delaware rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $104.71 / $302.00
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 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $114.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $190.55