go back

New Jersey rates for HCPCS 0631T

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

Insurance Carrier
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.05 / $57.35 / $113.53
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.47 / $100.03 / $156.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.51 / $87.82 / $164.20