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Pennsylvania rates for HCPCS 0694T

3d Volumetric Img&Rcnstj Brst/Ax Lymph Node Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $41.36 / $122.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $39.70 / $50.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.09 / $48.09 / $48.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.90 / $201.14 / $201.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.60 / $45.37 / $125.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.29 / $37.60 / $50.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $57.50 / $57.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.09 / $48.09 / $48.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.14 / $201.14 / $201.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.31 / $46.66 / $81.37