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Oklahoma 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 / $25.10 / $60.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $23.67 / $23.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $16.32 / $67.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $21.47 / $40.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $11.70 / $94.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $16.71