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Vermont 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
Professional
Modifier
Low / Median / High Price
$19.57 / $34.53 / $34.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.02 / $42.02 / $42.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.02 / $42.02 / $42.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $15.06 / $57.99