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New Jersey rates for HCPCS 0485T

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

Facilitymedian $78 · 10th–90th $37–$1700%20%10th90th$78Professionalmedian $38 · 10th–90th $17–$630%10%10th90th$38$10.0$20.0$50.0$100.0$200.0

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
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $37.15 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $31.62 / $79.43
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $17.78 / $23.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $131.83 / $194.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $39.81 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $40.74 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $39.81 / $69.18