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Pennsylvania 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
$83.38 / $100.13 / $100.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.76 / $85.56 / $106.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.62 / $65.62 / $91.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $58.86 / $215.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.44 / $67.44 / $67.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.13 / $100.13 / $100.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.76 / $85.56 / $106.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $61.80 / $61.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.76 / $65.62 / $75.95
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $42.04 / $215.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.23 / $1,376.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.60 / $79.75 / $141.94