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Utah 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
$143.10 / $143.10 / $143.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.42 / $143.10 / $182.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.10 / $147.10 / $147.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $125.04 / $147.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.01 / $16.30 / $28.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $12.09 / $60.87