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South Carolina 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
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $37.15 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $19.05 / $89.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $35.48 / $64.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $181.97 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $38.90 / $70.79