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Kentucky 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
$83.61 / $154.27 / $232.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.86 / $1,459.22 / $41,999.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.14 / $1,285.93 / $2,253.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.95 / $89.80 / $153.08