go back

Pennsylvania 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
$29.25 / $35.13 / $35.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $32.09 / $46.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $20.88 / $37.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $13.74 / $79.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $17.78 / $33.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.13 / $35.13 / $35.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $35.13 / $46.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $20.88 / $37.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $13.12 / $79.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $10.22 / $10.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.48 / $40.27 / $69.36