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Idaho rates for HCPCS 0694T

3-Dimensional Volumetric Imaging And Reconstruction Of Breast Or Axillary Lymph Node Tissue, Each Excised Specimen, 3-Dimensional Automatic Specimen Reorientation, Interpretation And Report, Real-Time Intraoperative

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $40.40 / $45.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.83 / $67.83 / $74.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.96 / $39.39 / $53.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.44 / $107.44 / $107.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $64.18 / $64.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.53 / $46.36 / $81.26