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Arkansas rates for HCPCS 0686T

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

Facilitymedian $2,188 · 10th–90th $1,514–$20,4170%10%20%10th90th$2,188Professionalmedian $3,715 · 10th–90th $2,399–$4,3650%20%10th90th$3,715$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,380.38 / $1,819.70 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,715.35 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $562.34 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $28,183.83 / $48,977.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $4,365.16 / $6,606.93