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Addition to Halo, Replacement Liner or Interface Material

Ohio 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?

$141

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $263 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 8 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$138$126 to $178
FacilityA hospital or hospital-owned outpatient department$263$214 to $288

How much rates vary

Facilitymedian $263 · 10th to 90th $138 to $447Professionalmedian $138 · 10th to 90th $123 to $275
$100$200$500facility $263professional $138

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
$138.04
Median
$199.53
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$138.04
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$281.84
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$316.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$234.42
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$173.78
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$177.83
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$169.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$223.87
Typical High
$323.59
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$181.97

Where Ohio 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.

Ohio· 29th of 51

$141

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.