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Missouri rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $309.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $912.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $208.93 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $208.93 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $186.21