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Mississippi rates for HCPCS L0861

Addition To Halo Procedure Replacement Liner/Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.32 / $146.32 / $233.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.35 / $166.90 / $233.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.33 / $202.33 / $202.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.33 / $202.33 / $202.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $217.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $123.95 / $194.45