| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $50.93 | $136.76 | $136.76 | |
United
| Professional | $118.10 | $139.78 | $159.07 |
Transcutaneous visible light hyperspectral imaging measurement of oxyhemoglobin, deoxyhemoglobin, and tissue oxygenation, with interpretation and report, per extremity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $50.93 | $136.76 | $136.76 | |
United
| Professional | $118.10 | $139.78 | $159.07 |