go back

North Carolina 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
$203.17 / $203.17 / $203.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $203.17 / $396.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.41 / $713.77 / $942.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.20 / $115.20 / $115.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.09 / $110.42 / $1,748.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.91 / $143.15 / $335.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $143.15 / $1,165.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.39 / $426.30 / $786.21
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.85 / $548.29 / $548.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.11 / $1,345.11 / $1,345.11