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Arizona rates for HCPCS 0485T

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

Facilitymedian $58 · 10th–90th $20–$3470%5%10th90th$58Professionalmedian $39 · 10th–90th $15–$600%10%10th90th$39$10.0$20.0$50.0$100.0$200.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $37.15 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $229.09 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $87.10 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $41.69 / $79.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $32.36 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $40.74 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $31.62 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $39.81 / $54.95