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Florida rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.18 / $119.89 / $137.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.74 / $126.20 / $228.63
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 / $164.38
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.35 / $160.35 / $160.35
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.58 / $174.47 / $261.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.88 / $208.88 / $208.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.50 / $127.57 / $166.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.85 / $135.85 / $261.10