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Utah 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
$1,030.90 / $1,030.90 / $1,030.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.60 / $1,030.90 / $1,170.46
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 / $796.08 / $964.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $189.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.19 / $96.58 / $496.52