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Light-Based Measurement Of Tissue Oxygen

Iowa rates for HCPCS 0631T

Measures how much oxygen is present in the tissue just beneath the skin by imaging the area with a camera that reads many separate wavelengths of visible light. Nothing is inserted and no blood is taken, and the readings are interpreted and written up in a report.

Rates data updated October 2026.

How much rates vary

Facilitymedian $107 · 10th to 90th $42 to $148Professionalmedian $132 · 10th to 90th $102 to $513
$50$100$200$500facility $107professional $132

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$107.15
Typical High
$147.91
Medica
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$131.83
Typical High
$512.86