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Ohio 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
$20.07 / $45.33 / $62.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.94 / $20.07 / $23.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.16 / $27.11 / $44.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $52.35 / $82.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.10 / $73.42 / $725.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.37 / $322.29 / $698.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.83 / $28.56 / $143.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $16.29 / $36.47
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.83 / $28.56 / $143.29
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.29 / $16.29 / $16.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.06 / $27.85