go back

Montana rates for HCPCS E0431

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.28 / $148.47 / $178.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.48 / $84.48 / $84.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.10 / $147.10 / $147.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $125.04 / $147.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.98 / $46.47 / $167.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $29.34 / $147.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $11.78 / $19.64