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Addition to Halo, Replacement Liner or Interface Material

Maine rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Rates data updated July 2026.

How much does Addition to Halo, Replacement Liner or Interface Material cost?

$155

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $295 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$135 to $224
FacilityA hospital or hospital-owned outpatient department$295$186 to $302

How much rates vary

Facilitymedian $295 · 10th to 90th $148 to $324Professionalmedian $155 · 10th to 90th $110 to $224
$100$200$500facility $295professional $155

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$169.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$263.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$141.25
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$218.78
Typical High
$223.87

Where Maine sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 16th of 51

$155

MN $257DC $105

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.