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Georgia rates for HCPCS E0431

Portable Gaseous Oxygen System Rental; Includes Portable Container Regulator Flowmeter Humidifier Cannula Or Mask And Tubing (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.21 / $107.21 / $121.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.21 / $141.06 / $184.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $28.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $167.30 / $416.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.56 / $34.50 / $75.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.54 / $26.93 / $41.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.95 / $147.10 / $147.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $125.04 / $147.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.31 / $69.31 / $71.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $17.98 / $129.47