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Virginia 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
$114.94 / $114.94 / $438.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $114.94 / $800.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.94 / $419.13 / $618.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.93 / $140.93 / $140.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.18 / $343.18 / $1,243.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.97 / $49.16 / $60.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.15 / $364.83 / $803.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.14 / $585.95 / $1,686.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.36 / $1,265.70 / $2,009.36
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.36 / $1,265.70 / $2,009.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.53 / $1,208.92 / $1,843.72