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Virginia 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
$104.71 / $371.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $204.17 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $154.88 / $436.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $77.62 / $95.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $218.78 / $478.63
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $398.11 / $1,230.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $398.11 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $398.11 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $416.87 / $660.69