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Massachusetts rates for HCPCS L0861

Addition To Halo Procedure Replacement Liner/Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.75 / $110.75 / $110.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $119.89 / $162.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.83 / $722.02 / $1,209.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.09 / $188.29 / $247.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.97 / $195.39 / $195.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $186.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $301.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.22 / $205.22 / $215.48
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.71 / $142.71 / $142.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.19 / $1,209.31 / $1,209.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.45 / $126.45 / $247.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.09 / $152.41 / $247.52