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Montana 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
$190.55 / $446.68 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $489.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $363.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $363.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $436.52 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,096.48 / $1,659.59