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Rhode Island rates for HCPCS L0861

Addition To Halo Procedure Replacement Liner/Interface Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $139.34 / $150.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.36 / $484.01 / $573.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.72 / $165.55 / $229.21
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 / $122.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.01 / $126.45 / $210.75