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Kansas rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.97 / $213.97 / $213.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.72 / $140.19 / $213.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.26 / $204.31 / $216.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.79 / $202.79 / $202.79
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 / $376.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.72 / $208.25 / $1,209.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $128.91 / $330.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.38 / $128.91 / $180.26