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South Dakota 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
$128.63 / $128.63 / $128.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.20 / $42.20 / $128.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.60 / $1,243.60 / $1,243.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.29 / $71.31 / $217.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.27 / $1,842.30 / $3,657.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.36 / $144.90 / $1,367.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.90 / $1,243.60 / $1,367.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $1,684.14 / $2,080.41