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Virginia rates for HCPCS 0353T

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

Facilitymedian $339 · 10th–90th $105–$1,4130%5%10%10th90th$339Professionalmedian $295 · 10th–90th $93–$4470%10%10th90th$295$50.0$200.0$1.0K$5.0K

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
$104.71 / $371.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $218.78 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $323.59 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $154.88 / $446.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $95.50
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $213.80 / $549.54
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $398.11 / $1,230.27
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $398.11 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $416.87 / $645.65