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Indiana rates for HCPCS 0486T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.56 / $39.56 / $39.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.24 / $51.91 / $113.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.14 / $220.14 / $424.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.58 / $220.14 / $303.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.51 / $437.58 / $1,122.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.62 / $65.62 / $65.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.26 / $70.69 / $290.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.00 / $5,660.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.62 / $78.93 / $130.68