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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 July 2026.

Facilitymedian $76 · 10th–90th $51$1480%20%10th90th$76Professionalmedian $132 · 10th–90th $87$5130%10%10th90th$132$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11