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Montana 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
$34.24 / $83.38 / $138.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.54 / $92.54 / $110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.29 / $92.54 / $139.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.24 / $92.54 / $138.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.54 / $92.54 / $177.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $80.75 / $136.32