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Maryland 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
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $23.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.95 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $27.54 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.47 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.75 / $16.60