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Wisconsin rates for HCPCS 0486T

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

Facilitymedian $132 · 10th–90th $36$7,5860%10%10th90th$132Professionalmedian $93 · 10th–90th $46$2750%5%10%10th90th$93$50.0$200.0$1.0K$5.0K$20.0K

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
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $77.62 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $181.97 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $151.36
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $91.20 / $177.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $100.00 / $7,585.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $138.04 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $112.20 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $109.65 / $162.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $707.95 / $707.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $537.03 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $3,981.07 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $112.20 / $269.15