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Light-Based Measurement Of Tissue Oxygen

South Dakota rates for HCPCS 0631T

Measures how much oxygen is present in the tissue just beneath the skin by imaging the area with a camera that reads many separate wavelengths of visible light. Nothing is inserted and no blood is taken, and the readings are interpreted and written up in a report.

Rates data updated October 2026.

How much rates vary

Facilitymedian $132 · 10th to 90th $112 to $132Professionalmedian $170 · 10th to 90th $85 to $513
$100$200$500facility $132professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$131.83
Typical High
$131.83
Medica
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$169.82
Typical High
$512.86