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Illinois rates for HCPCS 0485T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.90 / $10.90 / $10.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $17.76 / $50.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.04 / $56.14 / $72.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.63 / $53.32 / $111.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $15.20 / $55.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $16.23 / $30.05
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $13.08 / $15.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.83 / $48.46 / $73.22