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North Dakota 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
$16.98 / $22.91 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.91 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $50.12 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $44.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $25.12 / $52.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $27.54 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.13 / $36.31