go back

Wisconsin rates for HCPCS 0353T

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

Facilitymedian $95 · 10th–90th $59$3390%10%10th90th$95Professionalmedian $219 · 10th–90th $65$6610%5%10th90th$219$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
$61.66 / $61.66 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $218.78 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $371.54 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $131.83 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $151.36 / $169.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $74.13 / $218.78
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $85.11 / $407.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $104.71 / $1,348.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $158.49 / $660.69
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $1,348.96 / $1,348.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $1,348.96 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $104.71 / $524.81