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Michigan 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
$17.68 / $17.68 / $17.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $17.68 / $39.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.34 / $35.34 / $35.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $36.70 / $44.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $20.88 / $20.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $12.50 / $19.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.68 / $174.99 / $174.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.68 / $174.99 / $211.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.39 / $41.16 / $60.51