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New Jersey 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
$3,245.00 / $6,438.00 / $11,298.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.34 / $3,770.05 / $4,464.42
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,469.19 / $42,547.22 / $86,411.04
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,031.77 / $3,645.81 / $5,472.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,750.66 / $20,000.80 / $31,251.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,920.47 / $4,199.46 / $7,445.59