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New Mexico rates for HCPCS 0354T

Optical coherence tomography of breast, surgical cavity; interpretation and report, real-time or referred

Facilitymedian $617 · 10th–90th $11–$2,3440%10%10th90th$617Professionalmedian $589 · 10th–90th $6–$1,0960%10%20%10th90th$589$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $2,344.23 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $436.52 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $165.96 / $812.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $1,778.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,096.48 / $1,949.84