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South Carolina 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
$948.30 / $948.30 / $948.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.82 / $948.30 / $1,187.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,159.05 / $3,484.00 / $4,759.18
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
$796.08 / $796.08 / $936.57
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.00 / $1,090.55 / $1,479.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.00 / $2,150.00 / $2,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.16 / $112.34 / $920.12