go back

Maryland rates for HCPCS 0631T

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

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.27 / $91.59 / $124.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.79 / $91.75 / $144.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.80 / $246.80 / $246.80