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Indiana rates for HCPCS 0354T

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

Facilitymedian $182 · 10th–90th $85–$2,1880%20%10th90th$182Professionalmedian $117 · 10th–90th $6–$9330%10%10th90th$117$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$85.11 / $181.97 / $2,187.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $112.20 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $194.98 / $436.52
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $616.60 / $43,651.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $1,202.26 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $1,071.52 / $1,698.24