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Louisiana rates for HCPCS L0861

Addition To Halo Procedure Replacement Liner/Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.12 / $149.80 / $201.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $149.80 / $162.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.26 / $388.24 / $545.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.97 / $185.37 / $185.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $301.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $120.43 / $192.08