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Nevada rates for HCPCS 0631T

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.51 / $138.99 / $352.90
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $425.00
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.07 / $27.07 / $27.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $100.24 / $156.66