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Vermont rates for HCPCS 0686T

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

Professionalmedian $3,715 · 10th–90th $3,020$4,4670%20%40%10th90th$3,715$5.0K$10.0K$20.0K$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
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,715.35 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,248.07 / $8,128.31