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Mississippi 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
$25.10 / $45.93 / $50.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.82 / $45.93 / $50.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.65 / $37.65 / $37.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $215.00 / $215.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $17.14 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $13.93 / $37.65