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South Carolina rates for HCPCS L0861

Addition To Halo Procedure Replacement Liner/Interface Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.22 / $129.22 / $129.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.47 / $129.22 / $228.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $189.11 / $276.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.83 / $168.00 / $185.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $164.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.19 / $184.00 / $410.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $157.00 / $157.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.84 / $124.45 / $157.02