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Montana rates for HCPCS 0485T

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

Facilitymedian $32 · 10th–90th $24–$790%50%10th90th$32Professionalmedian $33 · 10th–90th $19–$650%10%10th90th$33$20.0$50.0$100.0

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
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $29.51 / $44.67
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $32.36 / $104.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $32.36 / $104.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $27.54 / $58.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $29.51 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $40.74 / $67.61