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Wyoming rates for HCPCS 0686T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,489.01 / $3,580.50 / $3,858.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,020.52 / $7,087.20 / $15,355.59