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Nebraska 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
$54.83 / $54.83 / $54.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.32 / $54.83 / $54.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.11 / $252.22 / $473.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.17 / $334.74 / $343.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.58 / $136.19 / $175.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.83 / $95.95 / $3,678.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.72 / $116.24 / $700.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.59 / $137.62 / $175.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.59 / $139.41 / $182.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.97 / $3,054.00 / $7,856.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.72 / $116.24 / $173.18