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Pennsylvania 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
$21.88 / $1,380.38 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $120.23 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.90 / $199.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $60.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $870.96 / $2,089.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $398.11 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $1,023.29 / $1,584.89