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Alabama rates for HCPCS 0686T

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

Facilitymedian $1,445 · 10th–90th $1,000$2,3990%10%20%10th90th$1,445Professionalmedian $3,631 · 10th–90th $2,512$4,3650%20%10th90th$3,631$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,513.56 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,630.78 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,096.48 / $1,479.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $21,379.62 / $25,118.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,073.80 / $5,888.44