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Virginia 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
$83.40 / $83.40 / $106.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.56 / $93.55 / $116.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.88 / $201.18 / $280.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.63 / $47.22 / $91.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.50 / $102.30 / $228.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.17 / $53.01 / $64.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.66 / $86.74 / $165.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.34 / $102.00 / $247.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.07 / $84.97 / $177.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.65 / $104.83 / $266.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,819.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.63 / $91.46 / $150.36