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New Mexico 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
$771.79 / $771.79 / $771.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.20 / $972.12 / $1,030.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.57 / $936.57 / $1,390.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.22 / $796.08 / $936.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.52 / $126.90 / $190.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.09 / $771.79 / $1,296.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.22 / $796.08 / $936.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.19 / $122.74 / $723.72