| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $250.56 | $262.73 | $455.90 | |
Cigna
| Professional | $34.33 | $34.33 | $698.44 | |
Molina
| Professional | $30.00 | $53.74 | $60.00 | |
United
| Professional | $23.17 | $23.23 | $50.60 |
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 | $250.56 | $262.73 | $455.90 | |
Cigna
| Professional | $34.33 | $34.33 | $698.44 | |
Molina
| Professional | $30.00 | $53.74 | $60.00 | |
United
| Professional | $23.17 | $23.23 | $50.60 |