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New Hampshire 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
$43.42 / $45.98 / $50.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.95 / $50.95 / $59.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.77 / $84.90 / $157.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.09 / $56.47 / $119.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00