go back

West Virginia 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
$35.21 / $35.21 / $35.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $20.32 / $35.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.55 / $193.20 / $388.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $20.88 / $20.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.53 / $79.53 / $79.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $42.72 / $77.95