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Missouri 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
$79.43 / $181.97 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $120.23 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $416.87 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $199.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $154.88 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,096.48 / $1,659.59