| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $246.85 | $246.85 | $449.00 | |
BCBS
| Professional | $671.00 | $671.00 | $671.00 | |
United
| Professional | $23.17 | $25.82 | $39.86 |
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 | $246.85 | $246.85 | $449.00 | |
BCBS
| Professional | $671.00 | $671.00 | $671.00 | |
United
| Professional | $23.17 | $25.82 | $39.86 |