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Idaho rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $221.94 / $221.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.97 / $168.00 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $275.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.72 / $178.54 / $253.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.11 / $240.79 / $253.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $187.05 / $222.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.94 / $247.52 / $371.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.42 / $183.78 / $266.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.01 / $114.70 / $178.35