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Illinois 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
Facility
Modifier
Low / Median / High Price
$22.91 / $36.31 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.02 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $151.36 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $33.88 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $51.29 / $75.86