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Massachusetts 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
$89.56 / $89.56 / $89.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.76 / $89.56 / $100.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.10 / $1,878.00 / $4,256.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $105.94 / $700.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.99 / $58.14 / $74.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $65.23 / $94.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.43 / $45.76 / $118.16
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $38.15 / $74.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.59 / $99.08 / $142.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.10 / $1,878.00 / $4,256.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.59 / $103.66 / $700.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.82 / $1,878.00 / $4,050.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.56 / $93.68 / $162.85