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Montana 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
$10.90 / $29.25 / $60.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.44 / $29.44 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $29.44 / $44.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.90 / $29.44 / $60.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.44 / $29.44 / $52.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $40.56 / $65.89