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Maine 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
$41.50 / $43.42 / $50.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.93 / $59.92 / $75.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.17 / $63.99 / $115.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.49 / $41.88 / $49.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.03 / $61.40 / $109.19