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North Carolina rates for HCPCS 0631T

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

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.27 / $110.46 / $249.62
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.03 / $77.00 / $86.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $103.00 / $111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.79 / $93.89 / $160.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.90 / $169.86 / $417.19
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.54 / $515.54 / $673.58