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Missouri rates for HCPCS 0353T

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

Facilitymedian $145 · 10th–90th $63–$2340%20%10th90th$145Professionalmedian $219 · 10th–90th $87–$9330%5%10%10th90th$219$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $144.54 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $194.98 / $363.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $63.10 / $100.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $138.04 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $1,047.13 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $371.54 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $602.56 / $1,230.27