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Minnesota 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
$128.63 / $128.63 / $229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $128.63 / $861.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.85 / $433.99 / $876.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.49 / $148.83 / $148.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $140.93 / $140.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.73 / $343.18 / $1,243.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.83 / $73.95 / $435.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.73 / $1,780.81 / $3,592.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.26 / $1,604.11 / $2,960.57