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Tennessee 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
$93.24 / $93.24 / $116.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $96.10 / $122.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.66 / $105.44 / $165.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.76 / $41.83 / $65.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $63.35 / $168.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.21 / $245.10 / $253.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.38 / $700.38 / $700.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,698.00 / $4,615.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.11 / $84.16 / $137.68