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Maine rates for HCPCS 0352T

Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $660.69 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $436.52 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $676.08 / $724.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $870.96 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $1,000.00 / $1,621.81