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Nationwide rates for HCPCS 0686T

Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $5,128.61 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $5,370.32 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $6,606.93 / $17,378.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $22,908.68 / $54,954.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,265.80 / $7,079.46