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Texas 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
$37.15 / $42.66 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $39.81 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $363.08 / $363.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $43.65 / $81.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $39.81 / $45.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $43.65 / $81.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $43.65 / $74.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $63.10