go back

Tennessee 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 / $23.54 / $80.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.82 / $19.82 / $23.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $25.10 / $33.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.92 / $55.58 / $90.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.67 / $119.23 / $119.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.50 / $125.50 / $188.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $13.93 / $16.71