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Maine rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $153.85 / $153.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.43 / $292.06 / $541.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.85 / $148.04 / $148.04
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 / $168.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.22 / $205.22 / $205.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.72 / $153.85 / $153.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $165.20 / $280.77