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South Dakota 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
$59.84 / $59.84 / $59.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.53 / $45.53 / $59.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.35 / $134.26 / $166.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.61 / $78.41 / $158.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.14 / $140.94 / $700.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.25 / $137.62 / $182.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.62 / $137.62 / $182.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.13 / $126.97 / $149.38