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South Dakota 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
$210.60 / $210.60 / $210.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.79 / $164.79 / $210.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.60 / $1,243.60 / $1,243.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.26 / $278.50 / $1,572.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.27 / $1,842.30 / $3,657.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.37 / $564.94 / $1,367.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.35 / $1,243.60 / $1,367.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.73 / $1,684.14 / $1,981.34