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Pennsylvania 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
$522.82 / $631.26 / $2,011.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.94 / $444.06 / $1,086.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.15 / $231.15 / $231.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.61 / $139.85 / $778.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.41 / $244.41 / $244.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.82 / $879.41 / $2,065.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.39 / $522.82 / $1,134.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.90 / $223.90 / $223.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.15 / $231.15 / $231.15
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.61 / $139.85 / $778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.30 / $1,105.20 / $1,842.30