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Wyoming rates for HCPCS L0861

Addition to halo procedure, replacement liner/interface material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.02 / $147.02 / $229.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.39 / $256.39 / $256.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.39 / $256.39 / $256.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.00 / $168.00 / $284.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.64 / $122.64 / $230.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $115.74 / $128.49