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Washington 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
$41.49 / $41.49 / $45.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $45.39 / $53.21
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.96 / $195.30 / $195.30
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.56 / $96.78 / $371.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.83 / $67.83 / $67.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.83 / $151.83 / $151.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.76 / $85.00 / $86.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.27 / $55.27 / $58.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.89 / $95.82 / $120.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.36 / $80.03 / $110.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.68 / $48.18 / $116.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.95 / $50.95 / $50.95