go back

Minnesota 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
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $97.72 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $53.70
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $87.10 / $181.97
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $47.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $40.74 / $53.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $52.48