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South 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
$17.38 / $61.66 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.95 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.92 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $63.10 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $23.44 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $25.12 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.80 / $20.89