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New Mexico 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
$58.88 / $58.88 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $38.90 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $144.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $1,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $38.90 / $64.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $162.18 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $41.69 / $75.86