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South Dakota rates for HCPCS E1405

Oxygen and water vapor enriching system with heated delivery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.50 / $1,007.50 / $1,007.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.50 / $1,453.76 / $1,551.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.57 / $936.57 / $936.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.50 / $1,507.43 / $1,865.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.74 / $1,453.76 / $3,983.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.74 / $118.22 / $4,206.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.94 / $238.44 / $531.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.94 / $245.89 / $448.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.74 / $118.22 / $3,524.04