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Minnesota rates for HCPCS 0485T

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

Facilitymedian $68 · 10th–90th $22–$1,9050%5%10%10th90th$68Professionalmedian $363 · 10th–90th $15–$4570%20%10th90th$363$10.0$50.0$200.0$1.0K$5.0K

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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $37.15 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $144.54 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $457.09 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $41.69 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $13.49 / $15.85
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $39.81 / $77.62
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $17.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $64.57
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $58.88 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $93.33 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $44.67 / $95.50