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South Carolina rates for HCPCS 0354T

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

Facilitymedian $437 · 10th–90th $22–$8710%10%10th90th$437Professionalmedian $115 · 10th–90th $6–$9770%10%20%10th90th$115$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
$194.98 / $707.95 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $114.82 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $100.00
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $251.19 / $870.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $977.24 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $1,071.52 / $1,819.70