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North Carolina 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
$19.95 / $79.43 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $79.43 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $18.20 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $39.81 / $66.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $21.88 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $30.20 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.80 / $27.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $186.21