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Ohio 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
$23.05 / $93.22 / $189.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $39.67 / $438.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.51 / $214.91 / $389.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.32 / $589.80 / $1,301.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.24 / $663.54 / $1,170.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $140.93 / $140.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.73 / $343.18 / $343.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $140.93 / $140.93
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.84 / $167.73 / $575.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.39 / $1,083.75 / $1,845.20