| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $28.84 | |
Aetna
| Professional | $19.95 | $19.95 | $25.12 | |
Cigna
| Facility | $16.22 | $16.22 | $16.22 | |
United
| Professional | $11.22 | $13.49 | $27.54 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $28.84 | |
Aetna
| Professional | $19.95 | $19.95 | $25.12 | |
Cigna
| Facility | $16.22 | $16.22 | $16.22 | |
United
| Professional | $11.22 | $13.49 | $27.54 |