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New Hampshire 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
$877.21 / $999.50 / $1,152.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.54 / $512.54 / $512.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.43 / $165.43 / $289.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.78 / $324.52 / $608.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.30 / $1,349.27 / $2,715.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00