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Kansas 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
$2,982.00 / $6,284.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,101.87 / $3,655.17 / $3,713.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,909.88 / $11,909.88 / $11,909.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $914.00 / $914.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,101.87 / $3,655.17 / $5,453.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,177.89 / $4,843.17 / $15,040.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,508.81 / $14,787.07 / $35,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,136.31 / $4,718.30 / $6,952.21