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Wisconsin rates for HCPCS 0354T

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

Facilitymedian $79 · 10th–90th $48–$1,0000%20%10th90th$79Professionalmedian $282 · 10th–90th $9–$2,1380%5%10th90th$282$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
$79.43 / $79.43 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $85.11 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $954.99 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $3,467.37
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $79.43 / $190.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $85.11 / $933.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,737.80 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $102.33 / $1,905.46
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $3,630.78 / $3,630.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $3,630.78 / $3,630.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,621.81 / $1,621.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,445.44 / $3,548.13