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Mississippi 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
$25.12 / $45.71 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.98 / $19.05
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 / $13.80 / $41.69