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West Virginia rates for HCPCS 0631T

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

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.93 / $1,184.95 / $2,509.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.74 / $87.65 / $140.90