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Tennessee rates for HCPCS 0631T

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

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.52 / $100.66 / $160.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.90 / $364.85 / $417.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.54 / $515.54 / $673.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.88 / $93.07 / $163.44