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Colorado 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 / $87.10 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $72.44 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.22 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $38.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.75 / $15.14