| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $373.70 | $373.70 | $373.70 | |
Midlands
| Facility | $52.70 | $52.70 | $52.70 | |
Midlands
| Professional | $52.70 | $52.70 | $52.70 |
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
| Professional | $373.70 | $373.70 | $373.70 | |
Midlands
| Facility | $52.70 | $52.70 | $52.70 | |
Midlands
| Professional | $52.70 | $52.70 | $52.70 |