| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.07 | $19.07 | $19.07 | |
BCBS
| Professional | $31.38 | $39.00 | $80.00 | |
Cigna
| Facility | $50.25 | $50.25 | $50.25 | |
United
| Professional | $10.54 | $11.70 | $25.10 |
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 | $19.07 | $19.07 | $19.07 | |
BCBS
| Professional | $31.38 | $39.00 | $80.00 | |
Cigna
| Facility | $50.25 | $50.25 | $50.25 | |
United
| Professional | $10.54 | $11.70 | $25.10 |