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Connecticut rates for HCPCS 0686T

Histotripsy Mal Hepatocellular Tiss W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,305.00 / $7,629.00 / $10,260.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,922.10 / $4,050.55 / $4,705.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.91 / $12,905.00 / $17,206.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.36 / $2,286.13 / $3,442.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $20,923.91 / $24,089.87
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $886.65 / $1,945.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.08 / $589.08 / $733.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,500.92 / $4,863.64 / $9,986.78