| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,471.67 | $3,625.89 | $4,187.26 | |
United
| Professional | $4,091.99 | $5,741.26 | $17,170.34 |
Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,471.67 | $3,625.89 | $4,187.26 | |
United
| Professional | $4,091.99 | $5,741.26 | $17,170.34 |