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Washington 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
$365.75 / $365.75 / $365.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $365.75 / $395.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.83 / $467.77 / $467.77
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.16 / $356.99 / $1,345.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.72 / $162.47 / $162.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.66 / $363.66 / $363.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.58 / $155.44 / $207.03
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $440.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.54 / $282.69 / $763.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $273.62 / $597.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.53 / $386.66 / $797.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.41 / $198.41 / $198.41