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Wisconsin 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
$25.12 / $25.12 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.02 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $60.26 / $218.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $38.90 / $74.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $38.90 / $91.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $75.86 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $100.00 / $141.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $263.03 / $263.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $63.10 / $141.25