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Mississippi rates for HCPCS 0686T

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

Facilitymedian $1,995 · 10th–90th $871–$21,3800%20%10th90th$1,995Professionalmedian $3,631 · 10th–90th $2,455–$4,4670%20%40%10th90th$3,631$20.0$100.0$500.0$2.0K$10.0K$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
$870.96 / $1,819.70 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,548.13 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $8,511.38 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $44.67 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $25,118.86 / $34,673.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,168.69 / $6,918.31