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Montana 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
$580.58 / $1,043.50 / $1,154.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.57 / $936.57 / $936.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.22 / $796.08 / $964.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.09 / $200.16 / $1,119.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.22 / $168.02 / $936.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.19 / $78.19 / $496.52