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Florida 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
$1,445.44 / $5,754.40 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,715.35 / $4,073.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $9,332.54 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $17,378.01
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,981.07 / $7,413.10
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $19,952.62 / $28,183.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,630.78 / $5,754.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $3,235.94