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Michigan 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
$38.50 / $38.50 / $38.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $38.50 / $42.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.09 / $48.09 / $48.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.14 / $201.14 / $201.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.13 / $38.50 / $38.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $38.50 / $45.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $45.54 / $67.68