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South Dakota 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
$102.03 / $102.03 / $102.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.83 / $101.83 / $102.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $47.72 / $59.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.74 / $172.09 / $550.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.17 / $644.39 / $1,345.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.13 / $245.70 / $477.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.72 / $434.63 / $477.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $626.98 / $727.69