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Missouri 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
$84.06 / $112.51 / $256.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.93 / $85.21 / $160.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $105.74 / $515.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.47 / $100.83 / $175.48