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Arizona rates for HCPCS 0354T

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

Facilitymedian $646 · 10th–90th $60–$3,4670%10%10th90th$646Professionalmedian $195 · 10th–90th $6–$1,0720%10%10th90th$195$10.0$50.0$200.0$1.0K$5.0K

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
$93.33 / $407.38 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $120.23 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $2,754.23 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $123.03 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $56.23 / $954.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $72.44 / $1,000.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,096.48 / $3,630.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $977.24 / $1,174.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $1,096.48 / $1,445.44