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Arizona 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
$66.02 / $93.75 / $354.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $66.02 / $800.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.78 / $2,544.29 / $4,231.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $97.75 / $122.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $140.93 / $140.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.18 / $343.18 / $1,243.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.50 / $69.31 / $995.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.02 / $1,105.20 / $3,657.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.55 / $1,105.20 / $1,600.62