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Kansas rates for HCPCS 0631T

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $17.10 / $114.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.18 / $78.69 / $115.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $112.91 / $515.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $107.30 / $173.96