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West Virginia rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.94 / $130.94 / $130.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.07 / $125.32 / $130.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.72 / $342.17 / $443.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.75 / $182.77 / $313.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $305.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $1,245.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.01 / $130.63 / $210.75