go back

Oregon 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
$398.11 / $1,995.26 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $263.03 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $162.18 / $478.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $151.36 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $302.00 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $263.03 / $398.11
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $154.88 / $208.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $204.17 / $524.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $169.82 / $478.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $316.23 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $389.05 / $870.96