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New Hampshire rates for HCPCS 0485T

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

Facilitymedian $12 · 10th–90th $7–$150%20%10th90th$12Professionalmedian $30 · 10th–90th $12–$1100%5%10%10th90th$30$10.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $39.81 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $23.99 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $20.89 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $41.69 / $74.13
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $12.30 / $15.49