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Minnesota 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
$19.03 / $19.03 / $19.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $26.29 / $53.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $141.26 / $2,367.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.96 / $458.03 / $458.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.25 / $39.42 / $94.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $13.61 / $15.72
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.89 / $34.75 / $74.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.38 / $12.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $25.92 / $46.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $68.43 / $197.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.03 / $61.61 / $120.70