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Maine 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
$115.96 / $181.72 / $309.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $116.77 / $162.83