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West Virginia rates for HCPCS 0694T

3d Volumetric Img&Rcnstj Brst/Ax Lymph Node Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.64 / $37.64 / $37.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $45.98 / $45.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.13 / $634.10 / $1,217.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.09 / $48.09 / $48.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.14 / $201.14 / $201.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.69 / $53.14 / $102.54