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North Carolina rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.63 / $228.63 / $394.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.47 / $228.63 / $228.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.85 / $387.31 / $476.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.78 / $195.82 / $195.83
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 / $376.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.72 / $228.63 / $297.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $157.00 / $177.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.20 / $304.20 / $467.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.45 / $129.10 / $200.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.97 / $1,209.31 / $1,209.31
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.45 / $1,307.45 / $1,900.95