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Ohio rates for HCPCS 0686T

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

Facilitymedian $7,079 · 10th–90th $2,951$13,8040%10%10th90th$7,079Professionalmedian $3,388 · 10th–90th $1,479$4,5710%20%10th90th$3,388$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$3,467.37 / $7,762.47 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,715.35 / $4,677.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $4,677.35 / $21,877.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,621.81 / $2,511.89
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $45,708.82 / $87,096.36
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $63,095.73 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $6,606.93 / $15,135.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $17,378.01
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $6,606.93 / $19,054.61
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $17,378.01
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $15,135.61 / $48,977.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,265.80 / $5,754.40