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Maryland 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
$20.32 / $28.17 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $13.45 / $16.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $18.64 / $43.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.18 / $39.53 / $67.77