| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.57 | $34.53 | $34.53 | |
Cigna
| Facility | $42.02 | $42.02 | $42.02 | |
MVP Health Care
| Facility | $42.02 | $42.02 | $42.02 | |
United
| Professional | $10.54 | $15.06 | $57.99 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.57 | $34.53 | $34.53 | |
Cigna
| Facility | $42.02 | $42.02 | $42.02 | |
MVP Health Care
| Facility | $42.02 | $42.02 | $42.02 | |
United
| Professional | $10.54 | $15.06 | $57.99 |