| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.45 | $44.45 | $50.51 | |
Health Alliance Plan
| Facility | $174.99 | $174.99 | $174.99 | |
Health Alliance Plan
| Professional | $174.99 | $174.99 | $218.73 |
Optical coherence tomography (OCT) for microstructural and morphological imaging of skin, image acquisition, interpretation, and report; each additional lesion (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $44.45 | $44.45 | $50.51 | |
Health Alliance Plan
| Facility | $174.99 | $174.99 | $174.99 | |
Health Alliance Plan
| Professional | $174.99 | $174.99 | $218.73 |