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New Mexico rates for HCPCS 0353T

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

Facilitymedian $288 · 10th–90th $100$8320%10%20%10th90th$288Professionalmedian $263 · 10th–90th $91$4070%10%20%10th90th$263$100.0$200.0$500.0$1.0K

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
$316.23 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $257.04 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $234.42 / $407.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $389.05 / $691.83