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North Dakota 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
$136.28 / $235.96 / $235.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.49 / $215.85 / $339.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.20 / $115.20 / $115.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $59.06 / $216.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.61 / $161.25 / $428.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.36 / $644.39 / $1,345.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $609.32 / $2,089.67