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New Hampshire 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
$35.49 / $40.99 / $46.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.07 / $110.07 / $186.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $13.58 / $70.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $29.83 / $62.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $50.67 / $105.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00