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Alabama rates for HCPCS 0061U

Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2], oxyhemoglobin [ctHbO2], deoxyhemoglobin [ctHbR], papillary and reticular dermal hemoglobin concentrations [ctHb1 and ctHb2]), using spatial frequency domain imaging (SFDI) and multi-spectral analysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $28.84 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.91 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $19.95 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $20.89 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $20.42 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $15.49