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Utah 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
$6.68 / $6.68 / $39.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $435.35 / $800.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.12 / $584.96 / $1,280.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.13 / $1,105.20 / $1,670.39