| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $181.97 | $181.97 | $181.97 | |
Medica
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Professional | $22.39 | $26.30 | $28.18 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $181.97 | $181.97 | $181.97 | |
Medica
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Professional | $22.39 | $26.30 | $28.18 |