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Delaware 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
$5,816.00 / $5,816.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,042.89 / $3,682.74 / $4,362.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $10,307.41 / $10,307.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,363.86 / $4,107.80 / $9,352.81