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Kentucky 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
$19.95 / $34.67 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $25.12 / $26.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $52.48 / $52.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $363.08 / $45,708.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.48 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.60 / $27.54