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New Mexico 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
$39.81 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $39.81 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $43.65 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $46.77 / $85.11