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Ohio 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
$95.74 / $239.35 / $456.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.70 / $103.97 / $371.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.51 / $207.08 / $335.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.82 / $912.19 / $2,012.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $1,026.21 / $1,810.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.20 / $115.20 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.70 / $59.62 / $211.55
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.20 / $115.20 / $115.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.70 / $59.62 / $162.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.61 / $368.50 / $667.87