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Ohio 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
$93.87 / $205.30 / $364.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.95 / $1,125.92 / $2,483.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.44 / $1,266.67 / $2,235.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.97 / $94.17 / $159.29