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New Jersey rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.29 / $86.29 / $86.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.29 / $110.30 / $139.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $253.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $301.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.56 / $233.18 / $332.03
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.52 / $253.46 / $253.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.09 / $126.45 / $253.46