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Illinois 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
$73.45 / $171.91 / $1,232.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $73.45 / $666.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.36 / $1,243.60 / $3,458.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $345.40 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.26 / $1,216.06 / $1,848.25