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Pennsylvania 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
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.10 / $110.10 / $110.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $91.33 / $138.79