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California rates for HCPCS A4616

Tubing (oxygen), per foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.05 / $0.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $8.00 / $8.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.07
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.12 / $0.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.18 / $0.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.30 / $5.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.24 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.08 / $0.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.08