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Georgia 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
Professional
Modifier
Low / Median / High Price
$82.99 / $82.99 / $255.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.43 / $99.39 / $129.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.67 / $108.42 / $166.10