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Utah rates for HCPCS 0354T

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

Facilitymedian $7 · 10th–90th $6–$70%50%10th$7Professionalmedian $437 · 10th–90th $6–$1,0960%10%10th90th$437$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
$6.03 / $6.61 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $549.54 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $60.26 / $66.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $213.80 / $1,380.38
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $154.88 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $1,096.48 / $1,659.59