| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.44 | $388.44 | $388.44 | |
Aetna
| Professional | $224.64 | $296.10 | $388.44 | |
Cigna
| Professional | $34.33 | $558.75 | $709.61 | |
United
| Professional | $15.45 | $23.71 | $51.63 |
Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.44 | $388.44 | $388.44 | |
Aetna
| Professional | $224.64 | $296.10 | $388.44 | |
Cigna
| Professional | $34.33 | $558.75 | $709.61 | |
United
| Professional | $15.45 | $23.71 | $51.63 |