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Virginia rates for HCPCS 0486T

Optical coherence tomography (OCT) of middle ear, with interpretation and report; bilateral

Facilitymedian $91 · 10th–90th $36–$1,8620%5%10%10th90th$91Professionalmedian $100 · 10th–90th $51–$2450%5%10%10th90th$100$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $83.18 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $218.78 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $102.33 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $67.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $93.33 / $154.88
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $74.13 / $218.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $91.20 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $3,090.30 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $85.11 / $151.36