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Michigan rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Facilitymedian $316 · 10th–90th $148–$1,0470%10%20%10th90th$316Professionalmedian $141 · 10th–90th $110–$2570%20%10th90th$141$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $138.04 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $776.25 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $275.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $288.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $489.78 / $549.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $208.93 / $316.23
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $173.78 / $257.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $213.80 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $123.03 / $181.97