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Alaska rates for HCPCS 0485T

Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.07 / $33.07 / $33.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.47 / $27.47 / $27.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $17.14 / $47.29
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $91.04 / $214.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.07 / $45.31 / $47.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $162.00 / $254.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.37 / $115.70 / $232.68