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Washington, DC 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
$18.82 / $18.82 / $153.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $18.82 / $18.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $22.59 / $23.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.79 / $42.43 / $91.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.10 / $51.02 / $51.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $11.70 / $22.84