| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.87 | $28.87 | $28.87 | |
Aetna
| Professional | $20.83 | $20.83 | $20.83 | |
Cigna
| Facility | $16.32 | $16.32 | $16.32 | |
United
| Professional | $10.54 | $13.37 | $37.65 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.87 | $28.87 | $28.87 | |
Aetna
| Professional | $20.83 | $20.83 | $20.83 | |
Cigna
| Facility | $16.32 | $16.32 | $16.32 | |
United
| Professional | $10.54 | $13.37 | $37.65 |