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Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$130.50 / $137.03 / $137.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.01 / $141.06 / $170.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $18.64 / $25.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $147.10 / $234.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $125.04 / $125.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.69 / $20.69 / $20.69
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.63 / $139.63 / $139.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.03 / $137.03 / $137.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.84 / $137.03 / $178.56
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $147.10 / $234.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $125.04 / $147.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.00 / $237.00 / $237.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.00 / $237.00 / $243.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $17.26 / $110.29