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Arizona 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
$19.50 / $50.12 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $45.71 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.88 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $25.12 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.20 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $25.12 / $38.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.75 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.75 / $15.14