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Maryland 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
$74.20 / $96.10 / $115.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $45.29 / $56.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $56.13 / $136.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.00 / $458.00 / $458.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.50 / $83.79 / $131.09