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Hawaii 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
$20.71 / $23.47 / $30.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $30.12 / $37.65
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $8.67 / $8.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $30.12 / $32.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $30.12 / $50.20