go back

New Mexico 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
$891.25 / $2,344.23 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $128.82 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $173.78 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,096.48 / $1,949.84