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Tennessee rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.47 / $117.47 / $128.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.30 / $121.17 / $219.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.57 / $234.99 / $234.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.49 / $168.00 / $168.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $168.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.97 / $1,209.31 / $1,209.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.45 / $1,307.45 / $1,900.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.84 / $125.39 / $174.34