Noninvasive near-infrared tissue oxygen measurement

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ncntc Nr Ifr Spectrsc Flap/Wnd Img Acquisj I&R

Payers reporting CPT 0640T

Payer pricing summary

Low

$10

Average

$76

Median

$51

High

$433

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	344	$42	$93	$116	124%	—	$21 – $918
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	265	$42	$183	$368	201%	—	$19 – $2.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	222	$38	$53	$63	118%	—	$1 – $604
4	Humana fee schedule · outpatient · +16 other terms	218	$39	$49	$48	98%	—	$11 – $309
5	Cigna fee schedule · outpatient · +9 other terms	127	$39	$55	$34	62%	—	$34 – $193
6	Molina fee schedule · outpatient · +12 other terms	107	$45	$51	$16	31%	—	$27 – $87
7	WellCare fee schedule · outpatient · +8 other terms	106	$40	$46	$15	33%	—	$34 – $92
8	Anthem fee schedule · outpatient · +11 other terms	88	$52	$125	$59	47%	—	$37 – $273
9	Ambetter facility · fee schedule · outpatient · +8 other terms	59	$67	$74	$18	24%	—	$36 – $100
10	Devoted fee schedule · outpatient · +6 other terms	59	$39	$39	$3	7%	—	$35 – $43
11	Kaiser fee schedule · outpatient · +6 other terms	51	$44	$62	$33	52%	—	$37 – $162
12	Optum fee schedule · outpatient · +5 other terms	32	$37	$51	$27	52%	—	$34 – $138
13	Caresource facility · fee schedule · outpatient · +5 other terms	29	$57	$56	$17	30%	—	$36 – $114
14	Bcbs Tx fee schedule · outpatient · +2 other terms	28	$40	$46	$30	65%	—	$16 – $186
15	Clover fee schedule · outpatient · +5 other terms	26	$43	$41	$4	9%	—	$34 – $46
16	Oscar facility · fee schedule · outpatient · +7 other terms	24	$55	$58	$8	15%	—	$45 – $70
17	Medicare fee schedule · outpatient · +3 other terms	18	$37	$37	—	—	—	$37 – $37
18	Regence facility · fee schedule · outpatient · +3 other terms	18	$39	$47	$23	48%	—	$36 – $125
19	Medical Mutual facility · fee schedule · outpatient · +5 other terms	16	$36	$44	$27	60%	—	$19 – $141
20	Highmark fee schedule · outpatient · +3 other terms	15	$52	$52	$19	36%	—	$18 – $110
21	MultiPlan fee schedule · outpatient · +7 other terms	15	$64	$63	$5	8%	—	$37 – $64
22	Bcbs Mn fee schedule · outpatient · +2 other terms	13	$41	$52	$30	57%	—	$18 – $142
23	Wellmark fee schedule · both · +2 other terms	13	$43	$43	$29	67%	—	$11 – $81
24	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$42	$40	$2	6%	—	$37 – $42
25	Bcbs Nj fee schedule · outpatient	12	$44	$93	$62	67%	—	$43 – $190

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