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Wyoming 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
$19.07 / $19.07 / $19.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.38 / $39.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.25 / $50.25 / $50.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $11.70 / $25.10