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Louisiana 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
$26.61 / $36.78 / $132.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $26.61 / $50.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.27 / $44.89 / $63.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $29.24 / $35.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.44 / $48.20 / $177.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $36.40 / $36.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $11.70 / $27.85