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Massachusetts 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
$19.05 / $56.23 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $22.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $20.42 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $42.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $53.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $25.12 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.60 / $33.11