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Florida 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
$18.10 / $33.42 / $108.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $19.50 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.29 / $21.39 / $94.32
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $15.06 / $23.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.21 / $83.21 / $83.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.10 / $25.10 / $37.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $11.30 / $16.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $15.06 / $15.06