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Minnesota rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $977.24 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $346.74 / $380.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,819.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $257.04 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $281.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $114.82 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $128.82 / $323.59