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Delaware 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
$28.87 / $28.87 / $28.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $20.83 / $20.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $16.32 / $16.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $13.37 / $37.65