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Michigan 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
$23.99 / $23.99 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $17.78 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $36.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $66.07
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $35.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $16.60 / $18.20