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Minnesota 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
$155.47 / $155.47 / $155.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.01 / $155.47 / $194.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.64 / $28.64 / $405.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.10 / $672.46 / $1,867.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $270.30 / $323.85
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.27 / $638.95 / $1,470.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $260.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.57 / $48.77 / $262.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $16.34 / $38.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $16.34 / $44.87