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Washington rates for HCPCS 0353T

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

Facilitymedian $155 · 10th–90th $117–$3630%50%10th90th$155Professionalmedian $302 · 10th–90th $93–$4170%10%10th90th$302$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $234.42 / $398.11
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $309.03 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $50.12 / $60.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $269.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $154.88 / $154.88
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $436.52 / $436.52
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $257.04 / $549.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $288.40 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $371.54 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $389.05 / $831.76
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53