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Texas 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
$139.01 / $147.69 / $149.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.45 / $106.59 / $149.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.28 / $129.37 / $159.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.88 / $151.63 / $151.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.45 / $33.04 / $65.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.14 / $36.57 / $74.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.11 / $245.10 / $253.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.38 / $700.38 / $700.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.06 / $78.55 / $227.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $42.67 / $44.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $87.08 / $269.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.14 / $36.82 / $84.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.00 / $2,000.00 / $8,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.98 / $76.87 / $129.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.05 / $61.98 / $188.78