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Kansas 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
$24.55 / $46.77 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $45.71 / $56.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.12 / $38.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.60 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $31.62