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New Hampshire rates for HCPCS 0353T

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

Facilitymedian $46 · 10th–90th $41–$560%20%10th90th$46Professionalmedian $107 · 10th–90th $48–$3980%10%10th90th$107$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $263.03 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $144.54 / $158.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $70.79 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $263.03
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $45.71 / $56.23