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Maine 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
Professional
Modifier
Low / Median / High Price
$1,007.50 / $1,222.42 / $1,222.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.53 / $1,602.52 / $1,602.52
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.50 / $1,155.50 / $1,222.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $96.58 / $1,220.68