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Nebraska 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
$1,376.08 / $1,376.08 / $1,376.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.44 / $1,376.08 / $1,551.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.91 / $1,237.40 / $1,249.90
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 / $936.57 / $1,865.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.22 / $1,376.08 / $6,600.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.27 / $131.88 / $2,944.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.94 / $238.44 / $524.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.94 / $280.37 / $531.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.27 / $79.13 / $1,248.42