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Alaska rates for HCPCS 0486T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $112.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.11 / $93.11 / $93.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.45 / $46.45 / $160.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.50 / $237.60 / $426.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.54 / $154.18 / $160.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.81 / $319.50 / $506.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $637.00 / $637.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.25 / $228.43 / $459.38