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Missouri 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
$21.34 / $33.75 / $58.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.34 / $24.35 / $35.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.10 / $26.36 / $115.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $34.42 / $52.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.48 / $47.26 / $61.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.20 / $36.40 / $36.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.34 / $30.12 / $61.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $16.71 / $125.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.06 / $29.27