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North Dakota 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
$29.28 / $29.28 / $74.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $38.09 / $42.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.09 / $48.09 / $48.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.94 / $99.94 / $201.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.28 / $62.12 / $74.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $81.95 / $262.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.83 / $76.08 / $100.24