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Arizona rates for HCPCS 0351T

Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; real-time intraoperative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.33 / $365.42 / $1,381.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.33 / $800.52 / $1,046.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.78 / $2,544.29 / $4,231.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $97.75 / $122.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.15 / $231.15 / $231.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.09 / $213.14 / $957.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.44 / $283.07 / $995.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.02 / $1,105.20 / $3,657.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.50 / $1,105.20 / $1,842.45