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Nebraska 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
$17.43 / $17.43 / $17.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $17.43 / $17.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.11 / $252.22 / $473.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.17 / $334.74 / $343.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.47 / $57.75 / $87.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $31.37 / $80.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.95 / $57.12 / $245.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $68.93 / $87.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $68.93 / $92.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.95 / $58.16 / $87.57