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Connecticut 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 / $36.31 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $41.69 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $32.36 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $33.88 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $25.12