go back

Tennessee 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
$18.62 / $20.89 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $51.29 / $89.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.80 / $16.60