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Alaska rates for HCPCS 0354T

Optical coherence tomography of breast, surgical cavity; interpretation and report, real-time or referred

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.10 / $1,620.33 / $2,972.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.95 / $462.95 / $462.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.07 / $43.07 / $662.02
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.00 / $510.30 / $5,356.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.95 / $634.24 / $662.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.50 / $4,176.00 / $5,568.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.19 / $2,479.44 / $3,719.94