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Washington 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
$1,047.13 / $1,047.13 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $707.95 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $331.13 / $416.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $1,258.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $616.60 / $1,548.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $776.25 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,096.48 / $2,238.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03