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Virginia rates for HCPCS 0354T

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

Facilitymedian $676 · 10th–90th $58–$1,8620%10%10th90th$676Professionalmedian $437 · 10th–90th $6–$1,0720%10%10th90th$437$10.0$50.0$200.0$1.0K$5.0K

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
$114.82 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $128.82 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $467.74 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $194.98 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $61.66
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $134.90 / $870.96
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $1,202.26 / $3,548.13
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $1,202.26 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,187.76 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,202.26 / $1,862.09