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Rhode Island 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

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Aetna
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Facility
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Low / Median / High Price
$144.33 / $144.33 / $144.33
Aetna
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Professional
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Low / Median / High Price
$19.50 / $20.58 / $20.61
BCBS
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Low / Median / High Price
$26.60 / $29.56 / $30.87
BCBS
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Professional
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Low / Median / High Price
$33.26 / $33.26 / $33.26
Cigna
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Low / Median / High Price
$73.92 / $73.92 / $73.92
Cigna
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Professional
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Low / Median / High Price
$16.29 / $16.29 / $16.29
United
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Professional
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Low / Median / High Price
$10.54 / $15.06 / $33.01