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Tennessee rates for HCPCS 0686T

Histotripsy Mal Hepatocellular Tiss W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,082.00 / $2,777.34 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.17 / $3,471.67 / $4,109.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,933.55 / $6,933.55 / $6,933.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,959.00 / $9,056.00 / $16,109.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,500.50 / $17,500.50 / $17,500.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,530.00 / $13,003.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,665.76 / $6,665.76 / $6,665.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,792.60 / $53,287.10 / $53,287.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,371.29 / $27,944.72 / $33,483.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.40 / $15,000.60 / $28,126.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,646.77 / $4,632.55 / $7,489.29