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South Dakota 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
$19.03 / $19.03 / $19.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.77 / $16.77 / $19.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $15.47 / $15.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.93 / $28.34 / $66.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.77 / $71.26 / $245.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.62 / $57.75 / $92.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.19 / $68.93 / $92.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $63.78 / $75.04