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Minnesota 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
$56.00 / $56.00 / $56.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $19.32 / $23.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.60 / $25.10 / $65.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.07 / $25.10 / $25.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.83 / $91.97 / $221.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $36.72 / $48.83
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.27 / $83.93 / $174.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $28.91 / $45.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.10 / $40.65 / $54.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.06 / $66.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.06 / $53.26