| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $283.97 | $283.97 | $396.80 | |
Cigna
| Professional | $401.28 | $592.28 | $709.61 | |
United
| Professional | $23.17 | $26.98 | $46.90 |
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 | $283.97 | $283.97 | $396.80 | |
Cigna
| Professional | $401.28 | $592.28 | $709.61 | |
United
| Professional | $23.17 | $26.98 | $46.90 |