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Wisconsin rates for HCPCS 0485T

Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral

Facilitymedian $34 · 10th–90th $11–$1510%10%10th90th$34Professionalmedian $39 · 10th–90th $15–$1150%5%10%10th90th$39$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $37.15 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $69.18 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $17.38 / $19.95
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $39.81 / $169.82
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $18.62 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $245.47
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $74.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.11 / $72.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $245.47 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $186.21 / $245.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $67.61 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $40.74 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $54.95 / $134.90