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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.00 / $3,841.00 / $9,872.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.14 / $3,858.73 / $4,464.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,102.00 / $11,855.00 / $23,951.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.26 / $1,968.50 / $2,817.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,151.00 / $4,393.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,665.76 / $6,665.76 / $6,665.76
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,173.23 / $3,858.73 / $6,173.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $11,273.71 / $16,158.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,126.13 / $28,126.13 / $28,126.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,229.20 / $5,551.65 / $10,657.25