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Light-Based Measurement Of Tissue Oxygen

Montana rates for HCPCS 0631T

Measures how much oxygen is present in the tissue just beneath the skin by imaging the area with a camera that reads many separate wavelengths of visible light. Nothing is inserted and no blood is taken, and the readings are interpreted and written up in a report.

Rates data updated July 2026.

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $141Professionalmedian $138 · 10th to 90th $138 to $141
$100facility $138professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$141.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$141.25