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New Mexico 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
$18.82 / $37.65 / $75.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $18.82 / $21.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $16.32 / $16.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $40.90 / $40.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $31.38 / $36.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.61 / $27.61 / $29.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $11.70 / $11.70