| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.44 | $388.44 | $388.44 | |
Aetna
| Professional | $115.84 | $268.56 | $388.44 | |
Cigna
| Professional | $66.81 | $66.81 | $592.28 | |
United
| Professional | $15.45 | $20.66 | $34.34 |
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.44 | $388.44 | $388.44 | |
Aetna
| Professional | $115.84 | $268.56 | $388.44 | |
Cigna
| Professional | $66.81 | $66.81 | $592.28 | |
United
| Professional | $15.45 | $20.66 | $34.34 |