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Colorado rates for HCPCS 0686T

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

Facilitymedian $8,318 · 10th–90th $3,236–$23,9880%10%10th90th$8,318Professionalmedian $3,715 · 10th–90th $1,995–$4,4670%20%10th90th$3,715$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
$2,951.21 / $5,495.41 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,715.35 / $4,168.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,135.61 / $28,183.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,862.09 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $2,137.96
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $28,183.83 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $4,365.16 / $7,762.47