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Louisiana rates for HCPCS 0686T

Histotripsy Mal Hepatocellular Tiss W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.00 / $2,694.00 / $4,118.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,391.87 / $3,612.62 / $4,118.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,085.52 / $26,974.83 / $57,409.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,041.52 / $9,041.52 / $9,041.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $675.00 / $13,016.91
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 / $28,126.13 / $28,126.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,070.43 / $4,159.05 / $7,143.25