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Nevada rates for HCPCS 0686T

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

Facilitymedian $4,467 · 10th–90th $2,951–$10,2330%10%10th90th$4,467Professionalmedian $3,715 · 10th–90th $2,344–$4,3650%20%10th90th$3,715$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,951.21 / $4,168.69 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,715.35 / $4,365.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $9,332.54 / $25,703.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,737.80 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $13,803.84
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $12,022.64 / $25,118.86
Hometown Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $3,548.13 / $3,801.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,079.46 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,265.80 / $5,623.41