go back

Addition to Halo, Replacement Liner or Interface Material

North Carolina rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Rates data updated July 2026.

How much does Addition to Halo, Replacement Liner or Interface Material cost?

$200

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $229 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$132 to $229
FacilityA hospital or hospital-owned outpatient department$229$158 to $275

How much rates vary

Facilitymedian $229 · 10th to 90th $107 to $447Professionalmedian $200 · 10th to 90th $115 to $229
$100$200$500$1Kfacility $229professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$229.09
Typical High
$229.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$169.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$177.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$169.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$229.09
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$213.80
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$177.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,905.46

Where North Carolina sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 10th of 51

$200

MN $257DC $105

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.