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New Hampshire 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 / $21.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.86 / $418.86 / $418.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.40 / $83.25 / $156.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.30 / $1,306.15 / $2,633.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00