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Alaska rates for HCPCS 0353T

Optical coherence tomography of breast, surgical cavity; real-time intraoperative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.70 / $625.66 / $1,147.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.76 / $178.76 / $178.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.52 / $133.52 / $133.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.97 / $103.97 / $255.63
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.65 / $551.57 / $1,872.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.76 / $244.90 / $255.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.75 / $1,396.26 / $1,946.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.80 / $833.76 / $1,301.45