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South 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
$41.50 / $41.50 / $41.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.50 / $42.53 / $42.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.40 / $68.43 / $84.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.55 / $80.59 / $262.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.74 / $54.85 / $80.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.85 / $54.85 / $80.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $64.56 / $86.70