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Connecticut rates for HCPCS 0631T

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.59 / $815.07 / $1,099.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.36 / $238.46 / $555.16
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.55 / $118.09 / $215.39