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Vermont rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.69 / $123.69 / $142.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $186.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $144.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $186.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $144.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.67 / $150.13 / $293.02