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Indiana rates for HCPCS 0485T

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

Facilitymedian $115 · 10th–90th $110–$1510%20%40%10th90th$115Professionalmedian $35 · 10th–90th $12–$1100%10%10th90th$35$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $26.92 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $109.65 / $173.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $117.49 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $31.62 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $64.57