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Wisconsin 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
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $75.86 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $173.78 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $131.83 / $151.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $87.10 / $169.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $91.20 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $138.04 / $707.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $117.49 / $162.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $707.95 / $707.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,786.30 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $109.65 / $239.88