go back

North Dakota 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
$21.00 / $21.00 / $73.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $117.88 / $617.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $140.93 / $140.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.76 / $343.18 / $1,243.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.54 / $73.95 / $995.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.73 / $1,886.32 / $3,657.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.73 / $1,787.04 / $2,509.03