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Pennsylvania rates for HCPCS 0353T

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

Facilitymedian $617 · 10th–90th $209–$1,0000%10%10th90th$617Professionalmedian $219 · 10th–90th $87–$3980%10%10th90th$219$50.0$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
$208.93 / $616.60 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $218.78 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $63.10 / $104.71
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $42.66 / $87.10
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $229.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $758.58 / $1,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $218.78 / $371.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $354.81 / $575.44