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West 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
$100.28 / $100.28 / $100.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.45 / $106.59 / $106.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.82 / $623.96 / $1,302.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.62 / $65.62 / $65.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.16 / $215.16 / $215.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.05 / $110.05 / $110.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.63 / $77.19 / $153.74