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New Jersey 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
$32.36 / $37.15 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $54.95 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.90 / $33.11
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $25.12 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $27.54