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North Carolina 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
$39.70 / $39.70 / $39.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $39.70 / $50.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.50 / $40.22 / $63.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $44.00 / $142.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.07 / $55.49 / $107.97
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.96 / $229.05 / $229.05
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.88 / $360.90 / $360.90