| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $19.05 | $19.05 | $102.33 | |
United
| Professional | $75.86 | $102.33 | $162.18 |
Transcutaneous visible light hyperspectral imaging measurement of oxyhemoglobin, deoxyhemoglobin, and tissue oxygenation, with interpretation and report, per extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $19.05 | $19.05 | $102.33 | |
United
| Professional | $75.86 | $102.33 | $162.18 |