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Oklahoma rates for HCPCS L0861

Addition To Halo Procedure Replacement Liner/Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.45 / $123.45 / $181.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $123.45 / $139.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $301.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.72 / $156.81 / $1,209.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $124.45 / $258.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $115.74 / $166.04