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South Dakota rates for HCPCS 0353T

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

Facilitymedian $148 · 10th–90th $102–$3980%20%40%10th90th$148Professionalmedian $102 · 10th–90th $47–$3890%10%20%10th90th$102$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
$102.33 / $102.33 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $102.33 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $173.78 / $562.34
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $446.68 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $416.87 / $724.44