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Louisiana 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
$20.89 / $29.51 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $114.82 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $32.36 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,905.46 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $977.24 / $1,513.56