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Nebraska 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
$50.12 / $66.07 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $70.79 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $39.81 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $47.86 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $20.42 / $120.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $125.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $23.99 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $25.12