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Illinois rates for HCPCS 0631T

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

Insurance Carrier
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.42 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $102.33 / $154.88