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Nebraska rates for HCPCS 0686T

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

Facilitymedian $7,244 · 10th–90th $3,388–$21,8780%10%20%10th90th$7,244Professionalmedian $3,715 · 10th–90th $2,344–$5,6230%10%20%10th90th$3,715$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
$7,079.46 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,630.78 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,995.26 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,488.17 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $5,248.07 / $21,877.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,623.41 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $25,703.96 / $33,113.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,011.87 / $8,912.51