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Missouri rates for HCPCS 0485T

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

Facilitymedian $26 · 10th–90th $11–$690%10%10th90th$26Professionalmedian $39 · 10th–90th $16–$1620%5%10%10th90th$39$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$10.96 / $10.96 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $34.67 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $162.18 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $16.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $26.30 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $45.71 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $29.51 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $40.74 / $67.61