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Connecticut 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
$23.85 / $26.18 / $69.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $18.30 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.10 / $41.56 / $65.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $15.06 / $52.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.13 / $59.46 / $113.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.06 / $25.40