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Louisiana rates for HCPCS E1405

Oxygen And Water Vapor Enriching System With Heated Delivery (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.05 / $1,174.24 / $1,215.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.72 / $1,034.11 / $1,215.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.03 / $829.50 / $1,675.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.57 / $936.57 / $936.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.08 / $796.08 / $936.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.12 / $87.99 / $637.60