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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

Facilitymedian $16,218 · 10th–90th $16,218–$16,2180%50%100%$16,218Professionalmedian $3,715 · 10th–90th $3,467–$4,1690%50%10th90th$3,715$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,715.35 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $16,218.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $6,456.54 / $12,882.50