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Maryland 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
$152.86 / $152.86 / $152.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $152.86 / $365.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.09 / $60.01 / $81.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $97.75 / $189.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.20 / $372.63 / $593.59