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Nationwide rates for HCPCS 0631T

Transcutaneous visible light hyperspectral imaging measurement of oxyhemoglobin, deoxyhemoglobin, and tissue oxygenation, with interpretation and report, per extremity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.02 / $134.02 / $134.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.00 / $486.00 / $876.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.06 / $169.03 / $290.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $100.24 / $163.44