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Missouri 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 / $42.66 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $33.11 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $46.77 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $30.20 / $61.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $27.54