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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
$40.74 / $40.74 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $40.74 / $66.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $61.66 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $60.26 / $107.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $93.33