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Addition to Halo, Replacement Liner or Interface Material

South Dakota 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?

$224

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $240 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 7 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$224$178 to $302
FacilityA hospital or hospital-owned outpatient department$240$195 to $288

How much rates vary

Facilitymedian $240 · 10th to 90th $178 to $363Professionalmedian $224 · 10th to 90th $162 to $380
$100$200$500$1Kfacility $240professional $224

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$177.83
Typical High
$223.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$489.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$173.78
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$281.84
Midlands
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$467.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$177.83
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04

Where South Dakota 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.

South Dakota· 8th of 51

$224

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.