| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $275.42 | $398.11 | |
United
| Facility | $23.44 | $28.84 | $1,047.13 | |
United
| Professional | $23.99 | $30.90 | $51.29 |
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
| Professional | $223.87 | $275.42 | $398.11 | |
United
| Facility | $23.44 | $28.84 | $1,047.13 | |
United
| Professional | $23.99 | $30.90 | $51.29 |