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Arkansas 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
$34.67 / $35.48 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $37.15 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $16.60