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Georgia rates for HCPCS 0686T

Histotripsy Mal Hepatocellular Tiss W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,709.73 / $5,063.00 / $6,915.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.34 / $3,670.31 / $4,328.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.00 / $4,730.00 / $9,365.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.72 / $1,444.01 / $1,444.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.00 / $703.00 / $11,867.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,665.76 / $6,665.76 / $6,665.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,126.13 / $43,751.25 / $43,751.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,846.29 / $5,108.92 / $8,872.42