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Louisiana rates for HCPCS 0686T

Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance

Facilitymedian $3,311 · 10th–90th $933–$24,5470%5%10%10th90th$3,311Professionalmedian $3,715 · 10th–90th $2,188–$4,4670%20%10th90th$3,715$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,019.95 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,715.35 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $28,183.83 / $60,255.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $954.99 / $1,202.26
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $676.08 / $13,803.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $25,118.86 / $42,657.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,073.80 / $5,888.44