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Hawaii 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
Professional
Modifier
Low / Median / High Price
$133.80 / $151.13 / $184.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $107.38 / $147.10
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.51 / $36.51 / $36.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $30.78 / $117.53