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Texas 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
$59.33 / $63.02 / $63.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $42.85 / $63.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $151.63 / $151.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $32.50 / $45.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.97 / $30.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.98 / $80.73 / $90.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.56 / $245.56 / $245.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.35 / $34.47 / $93.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.67 / $22.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $38.59 / $109.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.92 / $32.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.69 / $38.97 / $66.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.03 / $31.00 / $110.07