go back

Idaho 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
$45.71 / $45.71 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $22.91 / $47.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $46.77 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $52.48 / $97.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $32.36 / $50.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.30 / $32.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $48.98 / $91.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $25.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.75 / $27.54