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Arizona 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
$159.36 / $226.29 / $855.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.36 / $285.22 / $366.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.78 / $2,544.29 / $4,231.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $97.75 / $122.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.20 / $115.20 / $115.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.38 / $84.58 / $352.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.13 / $175.30 / $467.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.33 / $386.66 / $1,345.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $386.66 / $574.65