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Wisconsin 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
$128.82 / $128.82 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $588.84 / $1,122.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $954.99 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $3,467.37
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $194.98 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $194.98 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,659.59 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $416.87 / $1,905.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $3,630.78 / $3,630.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $3,630.78 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $1,412.54 / $3,311.31