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Maine 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
Professional
Modifier
Low / Median / High Price
$165.96 / $660.69 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $501.19 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $724.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $549.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $870.96 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $1,000.00 / $1,621.81