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Indiana 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
$12.58 / $12.58 / $12.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.90 / $16.52 / $48.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.07 / $110.07 / $212.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $110.07 / $151.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.67 / $28.37 / $293.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $24.32 / $26.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $20.88 / $20.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $28.66 / $145.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $39.78 / $65.63