| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $640.32 | $851.10 | $896.80 | |
Cigna
| Professional | $83.43 | $83.43 | $83.43 | |
United
| Professional | $60.85 | $103.99 | $225.37 |
Stationary Liquid Oxygen System Rental; Includes Container Contents Regulator Flowmeter Humidifier Nebulizer Cannula Or Mask & Tubing (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $640.32 | $851.10 | $896.80 | |
Cigna
| Professional | $83.43 | $83.43 | $83.43 | |
United
| Professional | $60.85 | $103.99 | $225.37 |