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Maine rates for HCPCS 0354T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $128.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $418.86 / $445.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.76 / $63.49 / $114.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $21.00 / $21.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.64 / $1,344.31 / $2,335.19