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Arkansas rates for HCPCS 0061U

Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2], oxyhemoglobin [ctHbO2], deoxyhemoglobin [ctHbR], papillary and reticular dermal hemoglobin concentrations [ctHb1 and ctHb2]), using spatial frequency domain imaging (SFDI) and multi-spectral analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.09 / $35.09 / $43.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $35.09 / $35.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $32.54 / $52.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $25.07 / $25.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.06 / $16.71