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North Dakota rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $191.00 / $191.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.44 / $180.44 / $191.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $290.23 / $297.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.13 / $304.14 / $382.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.17 / $191.00 / $1,209.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.59 / $128.49 / $209.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.62 / $183.56 / $322.02