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Washington, DC 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
$18.20 / $18.20 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $22.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.95 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $42.66 / $95.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.92 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.75 / $22.91