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Louisiana 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
$69.84 / $74.11 / $79.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.45 / $74.11 / $147.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.85 / $63.30 / $102.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $32.38 / $48.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.46 / $1,187.00 / $6,699.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.24 / $77.68 / $128.01