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Georgia rates for HCPCS L0861

Addition To Halo Procedure Replacement Liner/Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.00 / $124.00 / $294.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.47 / $139.34 / $194.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.10 / $365.54 / $958.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.85 / $217.11 / $416.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.44 / $221.94 / $483.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.94 / $221.94 / $221.94
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 / $310.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.44 / $261.10 / $362.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.84 / $130.27 / $214.91