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Indiana 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
$27.43 / $27.43 / $27.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.72 / $37.75 / $43.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.88 / $66.88 / $129.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.07 / $66.88 / $92.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $594.41 / $1,048.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.09 / $48.09 / $48.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $57.90 / $80.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $44.74 / $74.84