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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
$180.44 / $180.44 / $180.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.89 / $180.44 / $191.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.82 / $277.20 / $365.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.76 / $246.72 / $259.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $801.78 / $2,226.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.13 / $319.19 / $382.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.01 / $769.27 / $1,753.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.13 / $301.13 / $310.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.95 / $259.70 / $1,209.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $128.49 / $283.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.62 / $174.63 / $399.42