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Nebraska rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.78 / $164.78 / $164.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.78 / $164.78 / $213.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.09 / $249.81 / $252.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $284.23 / $284.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.48 / $301.13 / $438.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.12 / $282.83 / $1,209.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $128.91 / $214.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.39 / $284.23 / $358.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $335.91 / $585.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.46 / $128.91 / $178.35