Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Lui-Freeze Elution
Utica, NY
See all hospitals reporting CPT 86860 →Price type
MVHS, Inc.’s median price of $13 is 92% below the median hospital's median price ($169), higher than 0% of the 2,429 hospitals reporting CPT 86860. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Excellus excellus bcbs medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $24 | $27 | $6 | 21% | — | $22 – $34 |
| 9 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $53 | $60 | $13 | 21% | — | $49 – $77 |
| 10 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $58 | $65 | $14 | 21% | — | $53 – $85 |
| 11 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $61 | $68 | $14 | 21% | — | $56 – $89 |
| 12 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $61 | $68 | $14 | 21% | — | $56 – $89 |
| 13 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $61 | $68 | $14 | 21% | — | $56 – $89 |
| 14 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $61 | $68 | $14 | 21% | — | $56 – $89 |
| 15 | Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges | $63 | $71 | $15 | 21% | — | $58 – $92 |
| 16 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $67 | $75 | $16 | 21% | — | $62 – $98 |
| 17 | UnitedHealthcare uhc commercial fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 18 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 19 | Humana humana military other · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 20 | Tricare humana military other · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 21 | Excellus excellus bcbs medicare advantage other · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 22 | Humana humana medicare advantage other · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 23 | Medicare medicare other · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 24 | Optum vaccn optum other · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 25 | UnitedHealthcare uhc medicare advantage other · outpatient | $215 | $215 | — | — | — | $215 – $215 |
Last updated: Aug 7, 2026
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