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Louisiana 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
$26.92 / $36.31 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $22.91 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $44.67 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $27.54 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $47.86 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.75 / $16.60