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Oklahoma 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
$18.20 / $25.12 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $67.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $25.12 / $39.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.75 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $16.60