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Michigan 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
Facility
Modifier
Low / Median / High Price
$119.32 / $178.98 / $238.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.45 / $119.32 / $612.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $140.93 / $140.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.91 / $33.15 / $41.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.32 / $281.89 / $942.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.32 / $942.54 / $1,129.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.68 / $1,004.73 / $1,409.66