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Indiana 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
$85.03 / $85.03 / $2,167.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $85.03 / $612.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.51 / $195.40 / $214.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.29 / $619.41 / $1,040.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $140.93 / $140.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.58 / $343.18 / $1,243.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.88 / $1,078.58 / $1,713.96