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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
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $87.10 / $114.82
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $97.72 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $89.13 / $162.18