| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $492.35 | $492.35 | $1,164.70 | |
BCBS
| Professional | $1,338.40 | $1,338.40 | $1,338.40 | |
United
| Professional | $60.85 | $81.14 | $109.96 |
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 | $492.35 | $492.35 | $1,164.70 | |
BCBS
| Professional | $1,338.40 | $1,338.40 | $1,338.40 | |
United
| Professional | $60.85 | $81.14 | $109.96 |