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Addition to Halo, Replacement Liner or Interface Material

Pennsylvania 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?

$126

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $407 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 9 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$126$110 to $158
FacilityA hospital or hospital-owned outpatient department$407$166 to $912

How much rates vary

Facilitymedian $407 · 10th to 90th $105 to $1,349Professionalmedian $126 · 10th to 90th $105 to $251
$100$500$2K$10K$50Kfacility $407professional $126

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
$104.71
Median
$104.71
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$123.03
Typical High
$181.97
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$169.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$489.78
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$257.04
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$407.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$213.80
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$912.01
Typical High
$1,479.11
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$239.88
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$263.03

Where Pennsylvania 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.

Pennsylvania· 41st of 51

$126

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.